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

Wellstar Medical Group, LLC

Organization Gynecologic Oncology Physician · NPI 1669815817

Wellstar Medical Group, LLC provides Gynecologic Oncology Physician services in Austell, 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

1700 Hospital South Dr Ste 102
Austell, GA 30106-6810 Not confirmed with CMS for 12 years — call before visiting
Phone: (770) 792-6262
Fax: (678) 398-1929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X (GA)

Record details

NPI number1669815817
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 Gynecologic Oncology
NPI enumeratedApril 8, 2013
Last updated in NPPESNovember 19, 2013
Mailing address1700 Hospital South Dr, Suite 102, Austell, GA 30106-6810

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