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

Wellstar Medical Group, LLC

Organization Psychologist · NPI 1114207461

Wellstar Medical Group, LLC provides Psychologist 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

55 Whitcher St NE Ste 420
Marietta, GA 30060-1155 Not confirmed with CMS for 12 years — call before visiting
Phone: (770) 514-6760
Fax: (770) 794-8034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X (GA)

Record details

NPI number1114207461
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 Psychological Services
NPI enumeratedAugust 18, 2011
Last updated in NPPESNovember 19, 2013
Mailing address55 Whitcher St Ne, Suite 420, Marietta, GA 30060-1155

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