P Praxis·MD
● Active Type 2 · Organization Subpart

Wellstar Medical Group, Llc

Pediatrics·Kennesaw, GA· NPI 1457771925 · Enumerated 2014 · 12 years on NPI
Wellstar Medical Group, Llc is 1 of 2726 pediatrics organizations in Georgia.
NPI age
12 years
Enumerated 2014-04-23
Primary specialty
Pediatrics
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ashe
Executive Director Of Finance
Last NPPES update
2015-06-10
Source: monthly bulk 2026-05

How this organization compares

Across 2726 active pediatrics providers in Georgia.

NPI age
12 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-04Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
1180 Ernest W Barrett Pkwy Nw, Suite 102b
Kennesaw, GA 301444534
📞 6783542273fax 7707946837
Mailing address
1180 Ernest W Barrett Pkwy Nw, Suite 102b
Kennesaw, GA 301444534
📞 6783542273fax 7707946837

Authorized official

Nicole Ashe
Executive Director Of Finance
📞 4706440095

Individual providers at this organization

4 individual providers on file at this primary practice address.

Specialties

  • Pediatrics Primary
    A 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...
    taxonomy 208000000X
  • Clinic/Center
    Definition to come...
    taxonomy 261QU0200X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • WellStar Pediatric After Hours Care
    Type code 3 recorded 2014-04-23

Practice context

Multi-provider organization. 4 individual providers on file at this primary address.

Subpart of Wellstar Medical Group, Llc.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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