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

Wellstar Medical Group, LLC

Organization Family Medicine Physician · NPI 1093011603

Wellstar Medical Group, LLC is a Family Medicine Physician in Powder Springs, 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

4250 Brownsville Rd
Powder Springs, GA 30127-2559
Phone: (678) 567-8000
Fax: (770) 439-3555
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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 number1093011603
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 Powder Springs Medical Center
NPI enumeratedJanuary 28, 2011
Last updated in NPPESNovember 19, 2013
Mailing address4250 Brownsville Rd, Powder Springs, GA 30127-2559

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