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

Wellstar Medical Group, LLC

Organization Internal Medicine Physician · NPI 1548566508

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

Licensed in
GA
In the registry since
2011
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

166 Vann St NE
Marietta, GA 30060-7250
Phone: (770) 422-7377
Fax: (770) 421-1304
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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)

Record details

NPI number1548566508
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 Internal Medicine (Cousins)
NPI enumeratedFebruary 8, 2011
Last updated in NPPESNovember 19, 2013
Mailing address166 Vann St Ne, Marietta, GA 30060-7250

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