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

Wellstar Medical Group, LLC

Organization Clinical Neurophysiology Physician · NPI 1689967697

Wellstar Medical Group, LLC is a Clinical Neurophysiology Physician in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
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) 793-6695
Fax: (770) 793-7997
Show map & directions

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

Specialties & licences

Clinical Neurophysiology Physician (primary) Taxonomy 2084N0600X (GA)

Record details

NPI number1689967697
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 Neuropsychology
NPI enumeratedMay 24, 2011
Last updated in NPPESNovember 18, 2013
Mailing address677 Church St Ne, Marietta, GA 30060-1101

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