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

Roger Gary Wellborn, MD

Individual provider Family Medicine Physician · NPI 1417051152

Roger Gary Wellborn, MD is a Family Medicine Physician in Carrollton, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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

624 Dixie St
Carrollton, GA 30117-3817
Phone: (770) 832-9593
Fax: (770) 832-0440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 21441 (GA)

Record details

NPI number1417051152
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 12, 2006
Last updated in NPPESFebruary 2, 2012
Mailing address624 Dixie Street, Carrollton, GA 30117-3817

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