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 1790081362

Wellstar Medical Group, LLC is an Internal Medicine Physician in Austell, 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

1790 Mulkey Rd Ste 5-A
Austell, GA 30106-1122
Phone: (770) 732-1055
Fax: (770) 732-0175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (GA)

Record details

NPI number1790081362
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 Cobb Medical Group
NPI enumeratedJanuary 31, 2011
Last updated in NPPESNovember 19, 2013
Mailing address1790 Mulkey Rd, Suite 5-A, Austell, GA 30106-1122

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