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 1386054278

Wellstar Medical Group, LLC is a Family Medicine Physician in Canton, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
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

687 Marietta Hwy
Canton, GA 30114-2608
Phone: (770) 479-8040
Fax: (770) 479-7871
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 number1386054278
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 Edgewater Hall
NPI enumeratedMay 1, 2014
Last updated in NPPESMay 1, 2014
Mailing address687 Marietta Hwy, Canton, GA 30114-2608

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