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

Wellstar Medical Group, LLC

Organization Pediatrics Physician · NPI 1407141088

Wellstar Medical Group, LLC provides Pediatrics 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

3747 Roswell Rd NE Ste 201
Marietta, GA 30062-6215 Not confirmed with CMS for 11 years — call before visiting
Phone: (770) 578-2868
Fax: (770) 971-8499
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (GA)

Record details

NPI number1407141088
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 Pediatrics Ec
NPI enumeratedJune 13, 2011
Last updated in NPPESJune 8, 2015
Mailing address3747 Roswell Rd Ne, Suite 201, Marietta, GA 30062-6215

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