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 1164715132

Wellstar Medical Group, LLC is a Surgery Physician in Douglasville, 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

4904 Timber Ridge Dr Ste 104
Douglasville, GA 30135-1828
Phone: (770) 942-4822
Fax: (770) 942-5311
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 number1164715132
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 Douglas Surgical Associates
NPI enumeratedMay 24, 2011
Last updated in NPPESNovember 19, 2013
Mailing address4904 Timber Ridge Dr, Suite 104, Douglasville, GA 30135-1828

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