Stacy D Dougherty-welch (NPI# 1275769135, PAC ID# 3274774849) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1275769135 |
| PAC ID by PECOS | 3274774849 |
| Professional Enrollment ID | I20130724000152 |
| Full Name | Stacy D Dougherty-welch |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
315 Boulevard Ne Suite 500 Atlanta GA 30312-1266 |
| Phone Number | 4042653635 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110115 | WELLSTAR ATLANTA MEDICAL CENTER |
| 110031 | WELLSTAR SPALDING REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 315 Boulevard Ne, Suite 500, Atlanta, GA 30312-1266 | 4042653635 | WELLSTAR MEDICAL GROUP, LLC |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Physicians | 1338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phong Hoang Do | Family Medicine | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 |
| Francheska Desravines Alcide | Family Medicine | Wellstar Medical Group, LLC | 687 Marietta Hwy, Canton, GA 30114-2608 |
| Marcus J Gates | Neurosurgery | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Nimota A Adeboye | Nurse Practitioner | Wellstar Medical Group, LLC | 3886 Princeton Lakes Way Sw, Atlanta, GA 30331-5511 |
| Vanessa Jill Lancaster | Nurse Practitioner | Wellstar Medical Group, LLC | 1360 Upper Hembree Rd, Roswell, GA 30076-1230 |
| Janna Williams-pitts | Psychologist, Clinical | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Abhishek Kumar Singh | Family Medicine | Wellstar Medical Group, LLC | 121 Marble Mill N W Rd, Suite 101, Marietta, GA 30060-7959 |
| Khuram Ashraf | Internal Medicine | Wellstar Medical Group, LLC | 6043 Prestley Mill Rd C, Douglasville, GA 30134-2280 |
| Jonathan Noel Dodd | Psychologist, Clinical | Wellstar Medical Group, LLC | 3939 Roswell Rd, Marietta, GA 30062-6285 |
| Matthew Charles Agan | Neurology | Wellstar Medical Group, LLC | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 |
| Street Address |
315 BOULEVARD NE SUITE 500 |
| City | ATLANTA |
| State | GA |
| Zip | 30312-1266 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John H Smith Ii | Cardiovascular Disease (cardiology) | 315 Boulevard Ne, Suite 555, Atlanta, GA 30312-1266 | |
| Courtney D Shelton | Internal Medicine | 315 Boulevard Ne, Suite 310, Atlanta, GA 30312-1264 | |
| George Tucker | Obstetrics/gynecology | 315 Boulevard Ne, Suite 328, Atlanta, GA 30312-1221 | |
| William A Crosland | Pulmonary Disease | 315 Boulevard Ne, Suite 400, Atlanta, GA 30312-1264 | |
| Leroy A Wilson | Internal Medicine | Wellstar Medical Group, LLC | 315 Boulevard Ne, Suite 316, Atlanta, GA 30312-1221 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick S Malone | Podiatry | 285 Blvd Ne, Suite L 3, Atlanta, GA 30312 | |
| Althea L Turk | Ophthalmology | 315 Boulevard, Suite 242, Atlanta, GA 30312-1202 | |
| Dipa Ketan Patel | Nurse Practitioner | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Sonya D Marks | Obstetrics/gynecology | Obhg Georgia, P.C. | 303 Pkwy Nedr, Atlanta, GA 30312-1212 |
| Miriam Parker | Internal Medicine | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Jessica L Olson | Nurse Practitioner | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Thomas R Lall | Internal Medicine | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Nomi L Traub | Internal Medicine | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Katherine Lanning | Neurology | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Sharon B Williams | Nurse Practitioner | South Fulton Emergency Physicians, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Find all physicians in zip 30312 | |||
| City | ATLANTA |
| Zip Code | 30312 |
| Specialty | GENERAL SURGERY |
| City + Specialty | ATLANTA + GENERAL SURGERY |
Please comment or provide details below to improve the information on Stacy D Dougherty-welch.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.