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 1164728770

Wellstar Medical Group, LLC is a Family Medicine Physician in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
Specialties on file
3
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

3707 Largent Way NW
Marietta, GA 30064-1672
Phone: (678) 581-5729
Fax: (678) 581-5719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (GA)
Family Medicine Physician Taxonomy 207Q00000X (GA)
Pediatrics Physician Taxonomy 208000000X (GA)

Record details

NPI number1164728770
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 West Cobb Medical Center
NPI enumeratedJanuary 28, 2011
Last updated in NPPESNovember 19, 2013
Mailing address3707 Largent Way Nw, Marietta, GA 30064-1672

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