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

Wellstar Medical Group, LLC

Organization Surgery Physician · NPI 1124451190

Wellstar Medical Group, LLC provides Surgery Physician services in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
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

590 Nancy St NW
Marietta, GA 30060-1334 Not confirmed with CMS for 12 years — call before visiting
Phone: (770) 423-0395
Fax: (770) 499-0352
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X (GA)

Record details

NPI number1124451190
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 Summit Surgical
NPI enumeratedAugust 14, 2013
Last updated in NPPESNovember 19, 2013
Mailing address590 Nancy St Nw, Marietta, GA 30060-1334

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