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

Wellstar Medical Group, LLC

Organization Family Medicine Physician · NPI 1003112640

Wellstar Medical Group, LLC is a Family Medicine Physician in Hiram, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

176 Charles Hardy Pkwy Unit C
Hiram, GA 30141-1836
Phone: (678) 945-8200
Fax: (678) 945-8209
Show map & directions

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

Specialties & licences

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

Record details

NPI number1003112640
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWellstar Medical Group, LLC
Authorized official Nicole Ashe — Executive Director Of Finance · (470) 644-0095
Other names Wellstar East Paulding Primary Care Center
NPI enumeratedJanuary 30, 2011
Last updated in NPPESNovember 19, 2013
Mailing address176 Charles Hardy Pkwy, Unit C, Hiram, GA 30141-1836

Other providers in Hiram