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

Wellstar Medical Group, LLC

Organization Internal Medicine Physician · NPI 1063790350

Wellstar Medical Group, LLC is an Internal Medicine Physician in Dallas, 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.

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Practice location Address checks out

600 W Memorial Dr
Dallas, GA 30132-4117
Phone: (770) 443-4767
Fax: (770) 443-4793
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)

Record details

NPI number1063790350
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 Paulding Nursing Services
NPI enumeratedAugust 3, 2011
Last updated in NPPESNovember 18, 2013
Mailing address600 W Memorial Dr, Dallas, GA 30132-4117

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