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

Wellstar Medical Group, LLC

Organization Pediatric Anesthesiology Physician · NPI 1972905396

Wellstar Medical Group, LLC is a Pediatric Anesthesiology Physician in Kennesaw, 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

1180 Ernest W Barrett Pkwy NW Ste 100
Kennesaw, GA 30144-4534
Phone: (770) 644-1274
Fax: (770) 644-1119
Show map & directions

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

Specialties & licences

Pediatric Anesthesiology Physician (primary) Taxonomy 207LP3000X (GA)

Record details

NPI number1972905396
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 Pediatric Anesthesia
NPI enumeratedSeptember 17, 2014
Last updated in NPPESSeptember 26, 2014
Mailing address1180 Ernest W Barrett Pkwy Nw, Suite 100, Kennesaw, GA 30144-4534