WELLSTAR MEDICAL GROUP, LLC


Address: 833 Campbell Hill St Nw, Suite 400, Marietta, GA 30060-1134
Phone: 7705280260

WELLSTAR MEDICAL GROUP, LLC (NPI# 1184920233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184920233
Entity Type Organization
Organization Name WELLSTAR MEDICAL GROUP, LLC
Other Organization Name WELLSTAR NORTHWEST WOMEN'S CARE
Practice Address 833 Campbell Hill St Nw
Suite 400
Marietta
GA 30060-1134
Practice Telephone 7705280260
Practice Fax Number 7705280269
Mailing Telephone 7705280260
Mailing Fax Number 7705280269
Enumeration Date 2011-02-08
Last Update Date 2013-11-18
Authorized Official Name MRS. NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
Authorized Official Telephone 4706440095
Is Organization Subpart Y
Parent Organization Name WELLSTAR MEDICAL GROUP, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology GA Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
WellStar Northwest Women's Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1356736250 Wellstar Medical Group, LLC Pediatrics 736 Whitlock Ave Nw, Suite 600, Marietta, GA 30064-0001 2015-03-30
1326333907 Wellstar Medical Group, LLC Surgery 4550 Cobb Parkway Nw, Suite 309-b, Acworth, GA 30101-4180 2011-06-13
1255633004 Wellstar Medical Group, LLC Family Medicine 3747 Roswell Rd Ne, Suite 216, Marietta, GA 30062-6234 2010-11-30
1639533896 Wellstar Medical Group, LLC Surgery 8954 Hospital Dr, Douglasville, GA 30134-2272 2016-04-13
1275992240 Wellstar Medical Group, LLC Clinic/Center 805 Sandy Plains Rd, Marietta, GA 30066-6340 2016-02-18
1821466509 Wellstar Medical Group, LLC Internal Medicine 1605 Mulkey Rd, Suite 220, Austell, GA 30106-1127 2015-09-11
1346624160 Wellstar Medical Group, LLC Internal Medicine 1605 Mulkey Rd, Suite 220, Austell, GA 30106-1127 2015-07-10
1588059653 Wellstar Medical Group, LLC Family Medicine 12 Medical Dr Ne, Cartersville, GA 30121-8002 2015-04-05
1720471931 Wellstar Medical Group, LLC Pediatrics 677 Church St Ne, Suite 100 P, Marietta, GA 30060-1101 2015-03-12
1811380025 Wellstar Medical Group, LLC Psychiatry & Neurology 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 2015-03-12

Office Location

Street Address 833 CAMPBELL HILL ST NW
SUITE 400
City MARIETTA
State GA
Zip Code 30060-1134

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598755217 Paula C Greaves Obstetrics & Gynecology 833 Campbell Hill St Nw, Suite 400, Marietta, GA 30060-1134 2005-10-25
1053818716 Janelle Dawsey Marriage & Family Therapist 833 Campbell Hill St Nw, Marietta, GA 30060-1134 2018-04-10
1598141624 Randy Louis Oliver Specialist/Technologist, Other 833 Campbell Hill St Nw, Marietta, GA 30060-1134 2015-07-30
1962883082 Lotus Surgical Assistants, Inc. Physician Assistant 833 Campbell Hill St Nw, Suite 280, Marietta, GA 30060-1134 2015-06-15
1912323700 Donald W Alexander, Md PC Otolaryngology 833 Campbell Hill St Nw, Suite 420, Marietta, GA 30060-1134 2014-03-17
1104187046 Fonda D Martin Obstetrics & Gynecology 833 Campbell Hill St Nw, Suite 400, Marietta, GA 30060-1134 2012-06-07
1982977740 Anthony Salvatore Rapisardi Specialist/Technologist, Other 833 Campbell Hill St Nw, Suite 280, Marietta, GA 30060-1134 2012-02-09
1225335656 Mariac Enterprises, LLC Home Health 833 Campbell Hill St Nw, Suite 116, Marietta, GA 30060-1134 2011-02-21
1942512033 Carson Cooke Ragan Advanced Practice Midwife 833 Campbell Hill St Nw, Suite 400, Marietta, GA 30060-1134 2010-07-06
1891016846 Crystal Lavette Welch Obstetrics & Gynecology 833 Campbell Hill St Nw, Suite 400, Marietta, GA 30060-1134 2010-06-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609253574 Hien Thi Doan Obstetrics & Gynecology Marietta Ob-gyn Affiliates, 699 Church Street, Suite 220, Marietta, GA 30060 2015-04-29
1487910501 Sara Beth Kashuk Morris Obstetrics & Gynecology 4800 Olde Towne Pkwy Ste 350, Marietta, GA 30068-4396 2012-04-03
1265735393 Jerald Jacob Sherman Obstetrics & Gynecology 1520 Johnson Ferry Rd, Suite145, Marietta, GA 30062 2010-12-12
1366610297 Natalie Needham Obstetrics & Gynecology 699 Church St Ne Ste 300, Marietta, GA 30060-1122 2008-02-13
1073737680 Deborah A. Taylor Obstetrics & Gynecology 699 Church Street, Suite 500, Marietta, GA 30060 2007-04-13
1801948658 Atlanta Women's Health Group, P.C. Obstetrics & Gynecology 1519 Johnson Ferry Rd, Suite 175, Marietta, GA 30062 2007-01-18
1366517500 Gary Laurence Smith Obstetrics & Gynecology 1230 Johnson Ferry Rd, Suite H-30, Marietta, GA 60068 2006-11-22
1376637314 Romero Nicholson Obstetrics & Gynecology 1355 Church Street Ext Ne, Suite F, Marietta, GA 30060-1099 2006-10-03
1164436788 Samuel Taylor Obstetrics & Gynecology 677 Church St Ne # 125, Marietta, GA 30060 2006-07-28
1972524700 Michelle Ray Martin Obstetrics & Gynecology 2550 Windy Hill Rd Se Ste 106, Marietta, GA 30067-8607 2006-07-21
Find all providers in MARIETTA

Competitor

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City MARIETTA
Zip Code 30060

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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