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 1558664003

Wellstar Medical Group, LLC is a Family Medicine Physician in Kennesaw, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
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

5150 Stilesboro Rd NW Ste 120
Kennesaw, GA 30152-7744
Phone: (678) 354-0230
Fax: (678) 354-0828
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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)

Record details

NPI number1558664003
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 Acw
NPI enumeratedDecember 6, 2010
Last updated in NPPESNovember 19, 2013
Mailing address5150 Stilesboro Rd Nw, Suite 120, Kennesaw, GA 30152-7744

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