NPI age
20 years
Enumerated 2005-08-25
● Active Type 2 · Organization
Subpart
Wellstar Medical Group East Paulding Pediatrics
Wellstar Medical Group East Paulding Pediatrics is 1 of 1881 specialist organizations in Georgia.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Davillier
Physician
Last NPPES update
2011-12-08
Source: monthly bulk 2026-05
How this organization compares
Across 1881 active specialist providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
51 Hiram Dr
Hiram, GA 301411844
Mailing address
51 Hiram Dr
Hiram, GA 301411844
Authorized official
Kelly Davillier, MD
Physician
📞 6789458320
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Nicole McHargue, MS, RN, CPNP Nurse Practitioner NPI 1386926319
- Nicole Spitalnick, CPNP Nurse Practitioner NPI 1801022017
- Sara Temple, APRN Nurse Practitioner NPI 1043665243
- Andrea Thames-Allen, MD Pediatrics NPI 1114121704
- Laura Verigan, MD Pediatrics NPI 1902896053
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 1420565 | |
| 05 (GA) | 1899964650A |
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
Subpart of Wellstar Medical Group.
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