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NPI 1508162173
● Active Type 2 · Organization
Subpart
Wellstar Medical Group, Llc
Internal Medicine · Austell, GA · NPI 1508162173
·
Enumerated 2011 · 15 years on NPI
Wellstar Medical Group, Llc is 1 of 5027 internal medicine organizations in Georgia.
NPI age
15 years
Enumerated 2011-01-31
Primary specialty
Internal Medicine
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 5027 active internal medicine providers in Georgia.
NPI age
15 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2011 → 2026
2011-01 Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
1680 Hospital South Dr
Austell, GA 301068110
📞 6789452100 fax 7709413870
Mailing address
1680 Hospital South Dr
Austell, GA 301068110
📞 6789452100 fax 7709413870
Authorized official
Nicole Ashe
Executive Director Of Finance
📞 4706440095
Individual providers at this organization
9 individual providers on file at this primary practice address.
Susan Boland , CNP
Nurse Practitioner
NPI 1588653091
Harper Crawford , NP-C
Nurse Practitioner
NPI 1083477947
Frank Italiano , MD
Internal Medicine
NPI 1144481573
Alexandra Krawczuk-Smith , MD
Family Medicine
NPI 1134749807
Ellis Malone , MD
Internal Medicine
NPI 1326037821
Clifford Pickett , MD
Internal Medicine
NPI 1992795488
Joyce Ross , NP
Nurse Practitioner
NPI 1346702982
Aaron Thomas , MD
Internal Medicine
NPI 1588924765
Ailah Vazquez , RN, MSN, FNP-C
Nurse Practitioner
NPI 1073255352
Specialties
Internal Medicine
Primary
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
taxonomy 207R00000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
9 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.