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

Wellstar Medical Group, LLC

Organization Pediatrics Physician · NPI 1780924043

Wellstar Medical Group, LLC provides Pediatrics Physician services in Marietta, 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

3939 Roswell Rd Ste 300
Marietta, GA 30062-6251 Not confirmed with CMS for 11 years — call before visiting
Phone: (770) 509-1234
Fax: (770) 509-1235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (GA)

Record details

NPI number1780924043
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 At Johnson Square
NPI enumeratedFebruary 25, 2013
Last updated in NPPESMay 26, 2015
Mailing address3939 Roswell Rd, Suite 300, Marietta, GA 30062-6251

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