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 1376849919

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

Licensed in
GA
In the registry since
2011
Specialties on file
2
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

3805 Cherokee St NW
Kennesaw, GA 30144-2085
Phone: (770) 426-5666
Fax: (770) 426-9212
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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)
Internal Medicine Physician Taxonomy 207R00000X (GA)

Record details

NPI number1376849919
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 Kennesaw Medical Center
NPI enumeratedJanuary 30, 2011
Last updated in NPPESNovember 18, 2013
Mailing address3805 Cherokee St Nw, Kennesaw, GA 30144-2085

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