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

Wellstar Medical Group, LLC

Organization Family Medicine Physician · NPI 1346593316

Wellstar Medical Group, LLC is a Family Medicine Physician in Canton, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3755 Sixes Rd Ste 202
Canton, GA 30114-7842
Phone: (770) 720-1880
Fax: (770) 704-7162
Show map & directions

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 number1346593316
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 Family Medicine At Bridgemill
NPI enumeratedOctober 16, 2012
Last updated in NPPESJune 8, 2015
Mailing address3755 Sixes Rd, Suite 202, Canton, GA 30114-7842

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