NPI age
19 years
Enumerated 2006-05-27
● Active Type 2 · Organization
Subpart
Wellstar Towne Lake Pediatrics, Llc
Wellstar Towne Lake Pediatrics, Llc is 1 of 2726 pediatrics organizations in Georgia.
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
2008-07-14
Source: monthly bulk 2026-05
How this organization compares
Across 2726 active pediatrics providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2230 Towne Lake Pkwy, Building 300, Suite 100
Woodstock, GA 301895540
Mailing address
2230 Towne Lake Pkwy, Building 300, Suite 100
Woodstock, GA 301895540
Authorized official
Nicole Ashe
Executive Director Of Finance
📞 7707925261
Individual providers at this organization
19 individual providers on file at this primary practice address.
- Todd Asarch, DDS Dentist NPI 1649335746
- Leah Bulow, MSPT Physical Therapist NPI 1891732020
- Sam Caruso, DMD Dentist NPI 1922627256
- Wendy Failor, MACMHC Marriage & Family Therapist NPI 1467020065
- Samuel Hall, P.T. Physical Therapist NPI 1972766640
- John Iaculli, DDS Dentist NPI 1326340407
- Romualda Klicius, MD Pediatrics NPI 1033108121
- Michelle Leroy-Lawrence, D.C. Chiropractor NPI 1194943175
- Julie Levine, D.O. Physical Medicine & Rehabilitation NPI 1265618946
- Vincent Magliocco, O.D. Optometrist NPI 1194771766
- Caroline Malloy, DPT Physical Therapist NPI 1851656151
- Myra Matuszek, PT Physical Therapist NPI 1386682615
- Justin McPeak, NP Nurse Practitioner NPI 1609254051
- Gary Miller, MD Psychiatry & Neurology NPI 1437103488
- Steven O'Neal, D.D.S. Dentist NPI 1265551113
- Kunjan Patel, DMD Dentist NPI 1295015709
- Walter Porter, MPT Physical Therapist NPI 1710933924
- Tisha Ross, DDS Dentist NPI 1144252578
- Dustin Tipton, DDS Dentist NPI 1992990873
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Practice context
Multi-provider organization. 19 individual providers on file at this primary address.
Subpart of Wellstar Health System, Inc..
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