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

Wellstar Medical Group, LLC

Organization Surgery Physician · NPI 1124451190

Wellstar Medical Group, LLC is a Surgery Physician in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
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

590 Nancy St NW
Marietta, GA 30060-1334
Phone: (770) 423-0395
Fax: (770) 499-0352
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X (GA)

Record details

NPI number1124451190
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 Summit Surgical
NPI enumeratedAugust 14, 2013
Last updated in NPPESNovember 19, 2013
Mailing address590 Nancy St Nw, Marietta, GA 30060-1334

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