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

Wellstar Medical Group East Paulding Pediatrics

Organization Specialist · NPI 1396738381

Wellstar Medical Group East Paulding Pediatrics is a Specialist in Hiram, Georgia. Licensed in Louisiana. Registered with an NPI since 2005.

Licensed in
LA
In the registry since
2005
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Practice location Address checks out

51 Hiram Dr
Hiram, GA 30141-1844
Phone: (678) 945-8300
Fax: (770) 445-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 024912 (LA)

Record details

NPI number1396738381
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWellstar Medical Group
Authorized official Kelly Davillier — Physician · (678) 945-8320
NPI enumeratedAugust 25, 2005
Last updated in NPPESDecember 8, 2011
Mailing address51 Hiram Dr, Hiram, GA 30141-1844

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