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NPI 1154627115
● Active Type 2 · Organization
Subpart
Wellstar Medical Group, Llc
Pediatrics · Woodstock, GA · NPI 1154627115
·
Enumerated 2011 · 15 years on NPI
Wellstar Medical Group, Llc is 1 of 2726 pediatrics organizations in Georgia.
NPI age
15 years
Enumerated 2011-02-08
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ashe
Executive Director Of Finance
Last NPPES update
2013-11-19
Source: monthly bulk 2026-05
How this organization compares
Across 2726 active pediatrics providers in Georgia.
NPI age
15 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2011 → 2026
2011-02 Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
145 N Medical Pkwy
Woodstock, GA 301897031
📞 7705171900 fax 7709263215
Mailing address
145 N Medical Pkwy
Woodstock, GA 301897031
📞 7705171900 fax 7709263215
Authorized official
Nicole Ashe
Executive Director Of Finance
📞 4706440095
Individual providers at this organization
16 individual providers on file at this primary practice address.
Kunali Doshi , DO
Family Medicine
NPI 1679133813
Charlotte Howell , CNP
Nurse Practitioner
NPI 1790774917
Robert Hudec , MD
Family Medicine
NPI 1497745467
Margaret Johnson , CNP
Nurse Practitioner
NPI 1518956739
Alyssa Kesselman , CPNP
Nurse Practitioner
NPI 1285977355
Charles Khoury , DO
Family Medicine
NPI 1255320479
Susan Kim , M.D.
Family Medicine
NPI 1972986768
Srilaxmi Kishor , MD
Pediatrics
NPI 1942944236
Vickie McMillan , CNP
Nurse Practitioner
NPI 1801860564
Mohamed Midani , MD
Pediatrics
NPI 1295724383
Stanley Mogelnicki , MD
Internal Medicine
NPI 1164411385
Keerthi Mulamalla , M.D.
Family Medicine
NPI 1992907760
James Newlon , DO
Family Medicine
NPI 1982693107
Asher Niazi , MD
Internal Medicine
NPI 1851393151
Kelly Nix , FNP, BC
Nurse Practitioner
NPI 1386659928
Sharnee Straub , CNP
Nurse Practitioner
NPI 1962492207
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
16 individual providers on file at this primary address.
Subpart of Wellstar Medical Group, Llc .
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.