Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wellstar Kennesaw Medical Center, LLC

Organization Family Medicine Physician · NPI 1912953621

Wellstar Kennesaw Medical Center, LLC is a Family Medicine Physician in Kennesaw, Georgia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3805 Cherokee St NW
Kennesaw, GA 30144-2085
Phone: (770) 426-5666
Fax: (770) 426-9212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1912953621
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWellstar Health System, Inc
Authorized official Nicole Ashe — Executive Director Of Finance · (770) 792-5261
NPI enumeratedMay 25, 2006
Last updated in NPPESJuly 14, 2008
Mailing address3805 Cherokee St Nw, Kennesaw, GA 30144-2085

Other providers in Kennesaw