Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wellstar Medical Group, LLC

Organization Family Medicine Physician · NPI 1093011637

Wellstar Medical Group, LLC provides Family Medicine Physician services in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

114 Cherry St NE Ste A
Marietta, GA 30060-7277 Not confirmed with CMS for 12 years — call before visiting
Phone: (770) 423-0895
Fax: (770) 429-8628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (GA)

Record details

NPI number1093011637
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWellstar Medical Group, LLC
Authorized official Nicole Ashe — Executive Director Of Finance · (470) 644-0095
Other names Wellstar Marietta Family Medicine
NPI enumeratedJanuary 30, 2011
Last updated in NPPESNovember 18, 2013
Mailing address114 Cherry St Ne, Suite A, Marietta, GA 30060-7277

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