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 1689077562

Wellstar Medical Group, LLC provides Family Medicine Physician services in Acworth, 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.

See every abbreviation used in this directory →

Practice location Address checks out

4900 Ivey Rd NW Ste 1301
Acworth, GA 30101-4142 Not confirmed with CMS for 11 years — call before visiting
Phone: (770) 975-9077
Fax: (770) 790-4964
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 number1689077562
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 (Governors)
NPI enumeratedOctober 6, 2014
Last updated in NPPESMay 28, 2015
Mailing address4900 Ivey Rd Nw, Suite 1301, Acworth, GA 30101-4142

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