P Praxis·MD
● Active Type 2 · Organization Subpart

Wellstar Medical Group, Llc

Pediatrics·Marietta, GA· NPI 1992001952 · Enumerated 2011 · 15 years on NPI
Wellstar Medical Group, Llc is 1 of 2726 pediatrics organizations in Georgia.
NPI age
15 years
Enumerated 2011-02-08
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ashe
Executive Director Of Finance
Last NPPES update
2013-11-18
Source: monthly bulk 2026-05

How this organization compares

Across 2726 active pediatrics providers in Georgia.

NPI age
15 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-02Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
760 Kennesaw Ave Nw
Marietta, GA 300606909
📞 7704270183fax 7704270788
Mailing address
760 Kennesaw Ave Nw
Marietta, GA 300606909
📞 7704270183fax 7704270788

Authorized official

Nicole Ashe
Executive Director Of Finance
📞 4706440095

Individual providers at this organization

12 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

Other names on file (1)

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

  • WellStar KenMar Pediatrics
    Type code 3 recorded 2011-02-08

Practice context

Multi-provider organization. 12 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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