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

Wellstar Medical Group, LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1083907067

Wellstar Medical Group, LLC is a Physical Medicine & Rehabilitation 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.

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Practice location Address checks out

100 Lacy St NW Ste 150
Marietta, GA 30060-1271
Phone: (770) 793-7635
Fax: (770) 793-7645
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X (GA)

Record details

NPI number1083907067
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 Rehabilitation
NPI enumeratedMay 24, 2011
Last updated in NPPESNovember 19, 2013
Mailing address100 Lacy St Nw, Suite 150, Marietta, GA 30060-1271

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