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 1639475270

Wellstar Medical Group, LLC is a Family 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
4
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

55 Whitcher St NE Ste 160
Marietta, GA 30060-1155
Phone: (770) 422-1372
Fax: (770) 423-9651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X (GA)
Family Medicine Physician Taxonomy 207Q00000X (GA)
Internal Medicine Physician Taxonomy 207R00000X (GA)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X (GA)

Record details

NPI number1639475270
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 Pulmonary Medicine
NPI enumeratedJanuary 30, 2011
Last updated in NPPESNovember 19, 2013
Mailing address55 Whitcher St Ne, Suite 160, Marietta, GA 30060-1155

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