P Praxis·MD
● 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
Subspecialties
0

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.

  • WellStar Kennesaw State University Student Health Services
    Type code 3 recorded 2014-02-21

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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