WELLSTAR RHEUMATOLOGY, LLC (NPI# 1528386349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528386349 |
| Entity Type | Organization |
| Organization Name | WELLSTAR RHEUMATOLOGY, LLC |
| Practice Address |
4480 N Cooper Lake Rd Se Suite 201 Smyrna GA 30082-4622 |
| Practice Telephone | 7707925275 |
| Practice Fax Number | 7709416466 |
| Mailing Telephone | 7707925275 |
| Mailing Fax Number | 7709416466 |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |
| Authorized Official Name | NICOLE ASHE (ASSISTANT VP OF FINANCE) |
| Authorized Official Telephone | 7707925261 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| Street Address |
4480 N COOPER LAKE RD SE SUITE 201 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30082-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205823184 | Michael D Simpson | Internal Medicine | 4480 N Cooper Lake Rd Se, Smyrna, GA 30082-4622 | 2005-10-05 |
| 1669767364 | Wellstar Medical Group, LLC | Clinic/Center | 4480 N Cooper Lake Rd Se, Suite 100, Smyrna, GA 30082-4622 | 2011-06-10 |
| 1023301033 | Wellstar Medical Group, LLC | Internal Medicine | 4480 N Cooper Lake Rd Se, Suite 201, Smyrna, GA 30082-4622 | 2011-05-24 |
| 1538467303 | Wellstar Medical Group, LLC | Allergy & Immunology | 4480 N Cooper Lake Rd Se, Ste. 101, Smyrna, GA 30082-4622 | 2011-03-03 |
| 1780985739 | Nanette Cook Md Ob-gyn PC | Clinic/Center | 4480 N Cooper Lake Rd Se, Suite 220, Smyrna, GA 30082-4622 | 2010-11-08 |
| 1174765853 | Elizabeth Jean Reardon | Nurse Practitioner | 4480 N Cooper Lake Rd Se, Suite 201, Smyrna, GA 30082-4622 | 2009-03-27 |
| 1205987815 | Spencer Alexander Patrick | Dentist | 4480 N Cooper Lake Rd Se, Suite 210, Smyrna, GA 30082-4621 | 2007-01-12 |
| 1295832004 | James K Smith | Internal Medicine | 4480 N Cooper Lake Rd Se, Smyrna, GA 30082 | 2006-09-20 |
| 1841245719 | Surabhi Arjunan | Internal Medicine | 4480 N Cooper Lake Rd Se, Suite 201, Smyrna, GA 30082-4622 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
| 1386185916 | Nicholas Andrews | Behavior Technician | 5034 Laurel Bridge, Smyrna, GA 30082 | 2017-03-15 |
| 1518331362 | Shannon Wilkerson | Counselor | 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 | 2015-11-17 |
| 1235529611 | Frances Offiah Idowu | Nurse Practitioner | 3240 South Cobb Drive, Smyrna, GA 30082 | 2015-01-23 |
| 1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
| 1487964193 | Revive Athletics, Inc | Counselor | 460 Bourne Drive, Smyrna, GA 30082 | 2010-10-15 |
| 1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
| 1285826800 | David Goziem Nwabunor | Emergency Medicine | 415 Oak Brook Ct Se, Smyrna, GA 30082 | 2007-08-16 |
| 1437357373 | Amit M Patel | Plastic Surgery | 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 | 2007-07-03 |
| 1225103849 | Daniel C Norris Dds PC | Dentist | 620 Concord Rd, Smyrna, GA 30082 | 2006-11-21 |
| Find all providers in zip 30082 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952370801 | Kelly O'harra Weselman | Internal Medicine | 4441 Atlanta Rd Se Ste 315, Smyrna, GA 30080 | 2006-03-14 |
| 1366854697 | Bijal Vashi | Internal Medicine | 4441 Atlanta Rd Se Ste 315, Smyrna, GA 30080-6443 | 2014-05-21 |
| 1023301033 | Wellstar Medical Group, LLC | Internal Medicine | 4480 N Cooper Lake Rd Se, Suite 201, Smyrna, GA 30082-4622 | 2011-05-24 |
| 1295832004 | James K Smith | Internal Medicine | 4480 N Cooper Lake Rd Se, Smyrna, GA 30082 | 2006-09-20 |
| 1619986239 | Keith T Rott | Internal Medicine | 4441 Atlanta Rd Se Ste 315, Smyrna, GA 30080-6443 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954758 | James Clark | Internal Medicine | 1409 Satilla Blvd, Waycross, GA 31501-4322 | 2020-02-21 |
| 1609428325 | Duluth Regenerative and Joint Institute LLC | Internal Medicine | 4181 Pleasant Hill Rd Ste 150, Duluth, GA 30096-6387 | 2019-07-12 |
| 1629464805 | Articularis Healthcare Group Inc. | Internal Medicine | 961 Smoky Mountain Springs Ln Ne Ste A, Gainesville, GA 30501-2418 | 2015-04-14 |
| 1013312040 | Heart of Georgia Rheumatology LLC | Internal Medicine | 1508 Hardeman Ave Ste A, Macon, GA 31201-1471 | 2014-11-04 |
| 1770922072 | Suzana Alex John | Internal Medicine | 247 Whitehead Biomedical Research Bldg 615 Michael St, Atlanta, GA 30322 | 2013-06-19 |
| 1083960447 | Taik Kim | Internal Medicine | 11685 Alpharetta Hwy Ste 120, Roswell, GA 30076-4910 | 2012-08-02 |
| 1851655518 | Romy Nicolas Abou Mrad | Internal Medicine | 1659 Briarcliff Rd Ne, Appartment # 1302, Atlanta, GA 30306-2119 | 2012-06-27 |
| 1881960383 | Manmohan Gupta M.d., P.C. | Internal Medicine | 770 Pine St., Suite 440, Macon, GA 31201-7599 | 2012-03-29 |
| 1669744769 | Padmanaidu Karnam | Internal Medicine | 1622 Mars Hill Rd Ste C, Watkinsville, GA 30677-4893 | 2012-02-03 |
| 1043517683 | Jatin Patel | Internal Medicine | 11685 Alpharetta Highway, Suite 120, Roswell, GA 30076 | 2011-02-17 |
| Find all providers with the same taxonomy | ||||
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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.