NPI age
12 years
Enumerated 2013-08-14
● Active Type 2 · Organization
Subpart
Wellstar Medical Group, Llc
Wellstar Medical Group, Llc is 1 of 1389 surgery organizations in Georgia.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ashe
Executive Director Of Finance
Last NPPES update
2013-08-14
Source: monthly bulk 2026-05
How this organization compares
Across 1389 active surgery providers in Georgia.
NPI age
12 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-08Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
4550 Cobb Parkway North Nw
Acworth, GA 301014180
Mailing address
4550 Cobb Parkway North Nw
Acworth, GA 301014180
Authorized official
Nicole Ashe
Executive Director Of Finance
📞 7707925261
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Wendy Fotopoulos, MA Audiologist NPI 1689796963
- Emily Fowler Nurse Practitioner NPI 1255296976
- Sarah Freeman, PA-C Physician Assistant NPI 1467897173
- Daniel Holtz, MD Surgery NPI 1962680991
- Osagie Okundaye, MD Internal Medicine NPI 1629133103
- Bobby Treadwell, PA-C Physician Assistant NPI 1033483458
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
WellStar Breast Surgery
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
Subpart of Wellstar Medical Group, Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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