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 1053617621

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

Licensed in
GA
In the registry since
2011
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

1010 Johnson Ferry Rd
Marietta, GA 30068-2108
Phone: (770) 973-7302
Fax: (770) 971-6692
Show map & directions

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

Specialties & licences

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

Record details

NPI number1053617621
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 Woodlawn Commons Family Practice
NPI enumeratedJanuary 31, 2011
Last updated in NPPESNovember 19, 2013
Mailing address1010 Johnson Ferry Rd, Marietta, GA 30068-2108

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