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

Wellstar Medical Group, LLC

Organization Pediatrics Physician · NPI 1912203050

Wellstar Medical Group, LLC is a Pediatrics Physician in Douglasville, 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

6095 Professional Pkwy Ste 100
Douglasville, GA 30134-5607
Phone: (770) 920-2255
Fax: (770) 920-9963
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (GA)

Record details

NPI number1912203050
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 Creekside Pediatrics
NPI enumeratedFebruary 8, 2011
Last updated in NPPESNovember 19, 2013
Mailing address6095 Professional Pkwy, Suite 100, Douglasville, GA 30134-5607

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