WELLSTAR HEALTH SYSTEM, INC. (NPI# 1437219656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437219656 |
| Entity Type | Organization |
| Organization Name | WELLSTAR HEALTH SYSTEM, INC. |
| Practice Address |
805 Sandy Plains Rd Marietta GA 30066-6340 |
| Practice Telephone | 7707927600 |
| Mailing Telephone | 7707927600 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | MS. NICOLE ASHE (ASST. VP OF FINANCE) |
| Authorized Official Telephone | 7707925261 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407921653 | Wellstar Health System, Inc. | Pharmacist | 2520 Windy Hill Road, Suite 203a, Marietta, GA 30067-8664 | 2006-11-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WELLSTAR HEALTH SYSTEM, INC. | 793 Sawyer Rd, Marietta, GA 30062-2222 |
| Street Address |
805 SANDY PLAINS RD |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-6340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417935701 | Wellstar Homecare Billing, LLC | Pharmacy | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2006-01-06 |
| 1275992240 | Wellstar Medical Group, LLC | Clinic/Center | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2016-02-18 |
| 1457743304 | Seibattu Kallon | Nurse Practitioner | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2015-03-02 |
| 1164796009 | Maria De Freitas | Physician Assistant | 805 Sandy Plains Rd, Wellstar Medical Group, Marietta, GA 30066-6340 | 2012-02-23 |
| 1518139195 | Wellstar Professional Services, LLC | Internal Medicine | 805 Sandy Plains Rd, Wpg-cbo, Marietta, GA 30066-6340 | 2008-03-24 |
| 1043405905 | Sherlyne Sidney | Physical Therapist | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2007-09-12 |
| 1447442314 | Donald H Campbell | Surgery | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2007-08-15 |
| 1750489720 | Richard Hart | Internal Medicine | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2006-09-21 |
| 1215035548 | Marcia Lee Delk | Internal Medicine | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2006-09-20 |
| 1073591376 | Wellstar Home Health, LLC | Home Health | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2006-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
| Find all providers in zip 30066 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1316098965 | Spelios and Associates Delk Road PC | Point of Service | 2759 Delk Rd Se, Suite 105, Marietta, GA 30067-8847 | 2007-01-12 |
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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.