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 1629374681

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
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

625 Church St NE
Marietta, GA 30060-1101
Phone: (770) 422-2004
Fax: (770) 422-8465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X (GA)
Internal Medicine Physician Taxonomy 207R00000X (GA)

Record details

NPI number1629374681
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 Medical Specialists
NPI enumeratedFebruary 8, 2011
Last updated in NPPESNovember 18, 2013
Mailing address625 Church St Ne, Marietta, GA 30060-1101

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