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

Wellstar Medical Group, LLC

Organization Pediatrics Physician · NPI 1457771925

Wellstar Medical Group, LLC is a Pediatrics Physician in Kennesaw, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
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

1180 Ernest W Barrett Pkwy NW Ste 102B
Kennesaw, GA 30144-4534
Phone: (678) 354-2273
Fax: (770) 794-6837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (GA)
Urgent Care Clinic/Center Taxonomy 261QU0200X (GA)

Record details

NPI number1457771925
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 Pediatric After Hours Care
NPI enumeratedApril 23, 2014
Last updated in NPPESJune 10, 2015
Mailing address1180 Ernest W Barrett Pkwy Nw, Suite 102b, Kennesaw, GA 30144-4534

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