WELLSTAR RHEUMATOLOGY ASSOCIATES OF MARIETTA, LLC (NPI# 1720287188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720287188 |
| Entity Type | Organization |
| Organization Name | WELLSTAR RHEUMATOLOGY ASSOCIATES OF MARIETTA, LLC |
| Practice Address |
700 Church St Ne Marietta GA 30060-7220 |
| Practice Telephone | 7704201690 |
| Mailing Telephone | 7704201690 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 7707925261 |
| Is Organization Subpart | Y |
| Parent Organization Name | WELLSTAR HEALTH SYSTEM, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| Street Address |
700 CHURCH ST NE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-7220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629068945 | Kim Wilder-dyer | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2005-10-27 |
| 1912325655 | Rheumatology Associates of Marietta | Clinic/Center | 700 Church St Ne, Marietta, GA 30060-7220 | 2014-03-31 |
| 1992082739 | Wellstar Cardiovascular Medicine, LLC | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2011-11-08 |
| 1114210127 | Wellstar Medical Group, LLC | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2011-05-24 |
| 1538465109 | Wellstar Medical Group, LLC | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2011-01-31 |
| 1639302250 | Allyson Joy Underwood | Nurse Practitioner | 700 Church St Ne, Marietta, GA 30060-7220 | 2009-08-30 |
| 1710114517 | Xena Antoinette Whittier | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2009-06-18 |
| 1326239823 | A. Henry Randall Jr. | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2007-08-08 |
| 1821044207 | Wellstar Marietta Primary Care, LLC | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2006-05-26 |
| 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 | 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 |
|---|---|---|---|---|
| 1497061972 | Ritesh Kohli | Internal Medicine | 670 North Ave Nw Ste 100, Marietta, GA 30060-1100 | 2010-08-23 |
| 1811194681 | Mohammad Kamran | Internal Medicine | 355 Tower Road Suite 103, Marietta, GA 30060 | 2007-06-27 |
| 1801928692 | Kathleen L Johnson | Internal Medicine | 664 Willow Knoll Dr Se, Marietta, GA 30067-4682 | 2007-03-09 |
| 1023165172 | Jonathan D. Krant | Internal Medicine | 800 Wayne St Ste 100, Marietta, OH 45750-3309 | 2007-01-04 |
| 1114210127 | Wellstar Medical Group, LLC | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2011-05-24 |
| 1710114517 | Xena Antoinette Whittier | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2009-06-18 |
| 1730367343 | G Singelton Gaston Md | Internal Medicine | 2550 Windy Hill Rd Se, Suite 101, Marietta, GA 30067-8665 | 2008-02-06 |
| 1366625139 | The Arthritis Center At Windy Hill,pc | Internal Medicine | 2550 Windy Hill Rd Se, Suite 101, Marietta, GA 30067-8665 | 2007-12-14 |
| 1508819467 | Gloria Singleton Gaston | Internal Medicine | 2550 Windy Hill Rd Se, Suite 101, Marietta, GA 30067-8665 | 2006-05-19 |
| 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.