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

Wellstar Medical Group, LLC

Organization Child Abuse Pediatrics Physician · NPI 1356736250

Wellstar Medical Group, LLC provides Child Abuse Pediatrics Physician services in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

736 Whitlock Ave NW Ste 600
Marietta, GA 30064-0001 Not confirmed with CMS for 11 years — call before visiting
Phone: (770) 801-3465
Fax: (770) 801-3465
Show map & directions

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

Specialties & licences

Child Abuse Pediatrics Physician (primary) Taxonomy 2080C0008X (GA)

Record details

NPI number1356736250
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 Safepath Childrens Advocacy Center
NPI enumeratedMarch 30, 2015
Last updated in NPPESSeptember 30, 2015
Mailing address736 Whitlock Ave Nw, Suite 600, Marietta, GA 30064-0001