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

Wellstar Medical Group, LLC

Organization Gynecology Physician · NPI 1871939405

Wellstar Medical Group, LLC provides Gynecology 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
Show map & directions

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

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X (GA)

Record details

NPI number1871939405
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 Urogynecology
NPI enumeratedMay 22, 2013
Last updated in NPPESNovember 19, 2013
Mailing address1700 Hospital South Dr, Suite 102, Austell, GA 30106-6810

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