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 1558664003

Wellstar Medical Group, LLC provides Family Medicine Physician services in Kennesaw, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
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

5150 Stilesboro Rd NW Ste 120
Kennesaw, GA 30152-7744 Not confirmed with CMS for 12 years — call before visiting
Phone: (678) 354-0230
Fax: (678) 354-0828
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 number1558664003
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 Acw
NPI enumeratedDecember 6, 2010
Last updated in NPPESNovember 19, 2013
Mailing address5150 Stilesboro Rd Nw, Suite 120, Kennesaw, GA 30152-7744

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