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

Wellstar Medical Group, LLC

Organization Family Medicine Physician · NPI 1689077562

Wellstar Medical Group, LLC is a Family Medicine Physician in Acworth, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4900 Ivey Rd NW Ste 1301
Acworth, GA 30101-4142
Phone: (770) 975-9077
Fax: (770) 790-4964
Show map & directions

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 number1689077562
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 (Governors)
NPI enumeratedOctober 6, 2014
Last updated in NPPESMay 28, 2015
Mailing address4900 Ivey Rd Nw, Suite 1301, Acworth, GA 30101-4142

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