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

Peter R Jungblut, MD

Individual provider Internal Medicine Physician · NPI 1104104686

Peter R Jungblut, MD is an Internal Medicine in Marietta, Georgia. Qualified in 1994, 32 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
32
Licensed in
GA
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3747 Roswell Rd Ste 216
Marietta, GA 30062
Phone: (770) 973-2272
Show map & directions

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

Additional practice locations (1)

  • 805 Sandy Plains Rd, Marietta, GA 30066-6340 — (770) 792-5015

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 069056 (GA)

Record details

NPI number1104104686
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 1, 2011
Last updated in NPPESOctober 9, 2019
Mailing address3747 Roswell Rd Ste 216, Marietta, GA 30062-6227

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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