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

Wellstar Medical Group, LLC

Organization Family Medicine Physician · NPI 1386054278

Wellstar Medical Group, LLC provides Family Medicine Physician services in Canton, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
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

687 Marietta Hwy
Canton, GA 30114-2608 Not confirmed with CMS for 12 years — call before visiting
Phone: (770) 479-8040
Fax: (770) 479-7871
Show map & directions

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 number1386054278
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 Family Medicine At Edgewater Hall
NPI enumeratedMay 1, 2014
Last updated in NPPESMay 1, 2014
Mailing address687 Marietta Hwy, Canton, GA 30114-2608

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