WELLSTAR (NPI# 1275834616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275834616 |
| Entity Type | Organization |
| Organization Name | WELLSTAR |
| Other Organization Name | ENT ASSOCIATES OF NORTH GEORGIA |
| Practice Address |
320 Kennestone Hospital Blvd Suite 107 Marietta GA 30060-1161 |
| Practice Telephone | 7707937417 |
| Mailing Telephone | 7707937417 |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |
| Authorized Official Name | REBECCA ANN RATLIFF (AUDIOLOGIST) |
| Authorized Official Telephone | 7707937414 |
| Authorized Official Credential | AU.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AUD003861 | GA | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| ENT Associates of North Georgia | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WELLSTAR DOUGLAS HOSPITAL | 8954 Hospital Dr Frnt, Douglasville, GA 30134-2272 |
| Colorado Business Entities | WellStar Energy (USA), LLC | 9800 Mt Pyramid Ct, Suite 400, Englewood, CO 80112 |
| Virginia Business Entities | WELLSTAR FARMS LLC | 804 Reed Creek Dr, Po Box 198, Draper, Virginia 24324 |
| Indiana Business Entities | WELLSTAR HEALTH SERVICES, INC. | 211 Farmwood Ln, Laporte, IN 46350 |
| System for Award Management (SAM) Entities | WELLSTAR HEALTH SYSTEM, INC. | 793 Sawyer Rd, Marietta, GA 30062-2222 |
| Oklahoma Business Registrations | WELLSTAR INTERNATIONAL, LLC | 1600 E 19th St Bldg 5, Edmond, OK 73013 |
| Street Address |
320 KENNESTONE HOSPITAL BLVD SUITE 107 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891784229 | Charles H Crabbe | Internal Medicine | 320 Kennestone Hospital Blvd, Suite 201, Marietta, GA 30060-1161 | 2005-10-18 |
| 1508479825 | Sarah Burzynski | Genetic Counselor, MS | 320 Kennestone Hospital Blvd, Marietta, GA 30060-1161 | 2020-08-26 |
| 1538519855 | Marisa Anne Jendras | Genetic Counselor, MS | 320 Kennestone Hospital Blvd, Suite 216, Marietta, GA 30060-1161 | 2016-06-17 |
| 1174982482 | Amy S Bradley | Genetic Counselor, MS | 320 Kennestone Hospital Blvd, Ste 216, Marietta, GA 30060-1161 | 2016-02-15 |
| 1548691389 | Andrea Paal | Genetic Counselor, MS | 320 Kennestone Hospital Blvd, Ste 107, Marietta, GA 30060-1161 | 2013-12-04 |
| 1184990145 | Wellstar Medical Group, LLC | Radiology | 320 Kennestone Hospital Blvd, Suite Ll1, Marietta, GA 30060-1161 | 2012-03-23 |
| 1881990455 | Wellstar Medical Group, LLC | Otolaryngology | 320 Kennestone Hospital Blvd, Suite 107, Marietta, GA 30060-1161 | 2011-01-31 |
| 1316263353 | Justin P Hart | Radiology | 320 Kennestone Hospital Blvd, Ll 1, Marietta, GA 30060-1161 | 2010-04-15 |
| 1427294966 | Romni Maudann Owens | Internal Medicine | 320 Kennestone Hospital Blvd, Suite 201, Marietta, GA 30060-1161 | 2009-01-06 |
| 1760527253 | Karen M Ferguson | Physician Assistant | 320 Kennestone Hospital Blvd, Suite Ll1, Marietta, GA 30060 | 2007-02-21 |
| 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 | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164968152 | Peachtree Hearing LLC | Audiologist | 4939 Lower Roswell Rd Ste 107a, Marietta, GA 30068-4382 | 2017-01-13 |
| 1164863346 | Karen Burris Whitfield | Audiologist | 80 Lacy Street Nw, Marietta, GA 30060 | 2013-07-16 |
| 1003054875 | Camberly F Coe | Audiologist | 1475 Oak Springs Dr, Marietta, GA 30066-3962 | 2009-02-01 |
| 1639321151 | Jennifer Joyce Reddaway | Audiologist | 2550 Windy Hill Rd Se Ste 307, Marietta, GA 30067-8655 | 2008-10-15 |
| 1710009139 | Kathy J. Colapinto | Audiologist | 145 N Marietta Pkwy, Ste E, Marietta, GA 30060 | 2007-04-05 |
| 1356425912 | Laurie Nelson, Inc. | Audiologist | 990 Whitlock Ave Nw, Suite D, Marietta, GA 30064-1940 | 2006-10-24 |
| 1811093784 | Laurie Ellen Nelson | Audiologist | 707 Whitlock Ave Sw Ste A36, Marietta, GA 30064-4654 | 2006-09-16 |
| 1205837705 | Jiovanne Neal Hughart | Audiologist | 4800 Olde Towne Pkwy, Ste 360, Marietta, GA 30068-4357 | 2005-08-09 |
| 1790782498 | Family Hearing and Speech Center of West Cobb, Inc. | Audiologist | 1690 Powder Springs Rd Sw, Suite 208, Marietta, GA 30064-4844 | 2005-07-07 |
| 1780156133 | Sara Elizabeth Simmons | Audiologist | 699 Church St Ne Ste 340, Marietta, GA 30060-1131 | 2018-12-26 |
| 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.