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

Wellstar Medical Group, LLC

Organization Internal Medicine Physician · NPI 1669817995

Wellstar Medical Group, LLC is an Internal Medicine Physician in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
Specialties on file
3
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

677 Church St NE
Marietta, GA 30060-1101
Phone: (770) 422-1372
Fax: (770) 423-9651
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X (GA)
Internal Medicine Physician Taxonomy 207R00000X (GA)
Pulmonary Disease Physician Taxonomy 207RP1001X (GA)

Record details

NPI number1669817995
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 Intensivists
NPI enumeratedApril 30, 2013
Last updated in NPPESNovember 18, 2013
Mailing address677 Church St Ne, Marietta, GA 30060-1101

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