● Active Type 2 · Organization
Subpart
Wellstar Medical Group, Llc
Clinic/Center·Kennesaw, GA· NPI 1790100170
·
Enumerated 2014 · 12 years on NPI
Wellstar Medical Group, Llc is 1 of 32 clinic/center organizations in Georgia.
NPI age
12 years
Enumerated 2014-02-21
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ashe
Executive Director Of Finance
Last NPPES update
2015-05-27
Source: monthly bulk 2026-05
How this organization compares
Across 32 active clinic/center providers in Georgia.
NPI age
12 years
≈ at median (12 yr)
Practice locations
1
0 secondary on file
NPI lifetime · 2014 → 2026
2014-02Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
3215 Campus Loop Rd Nw
Kennesaw, GA 301443227
📞 4705786531fax 4705789004
Mailing address
3215 Campus Loop Rd Nw
Kennesaw, GA 301443227
📞 4705786531fax 4705789004
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
-
Clinic/Center
Primary
Definition to come...
taxonomy 261QS1000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
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
- 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.