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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | GA | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
WellStar Northwest Women's Care | Doing Business As Name - Organization |
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 |
Street Address |
833 CAMPBELL HILL ST NW SUITE 400 |
City | MARIETTA |
State | GA |
Zip Code | 30060-1134 |
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 |
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 |
Find all providers in zip 30060 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
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. |
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 |
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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.