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

Wellstar Medical Group, LLC

Organization Pediatric Anesthesiology Physician · NPI 1972905396

Wellstar Medical Group, LLC provides Pediatric Anesthesiology Physician services in Kennesaw, 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

1180 Ernest W Barrett Pkwy NW Ste 100
Kennesaw, GA 30144-4534 Not confirmed with CMS for 12 years — call before visiting
Phone: (770) 644-1274
Fax: (770) 644-1119
Show map & directions

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

Specialties & licences

Pediatric Anesthesiology Physician (primary) Taxonomy 207LP3000X (GA)

Record details

NPI number1972905396
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 Pediatric Anesthesia
NPI enumeratedSeptember 17, 2014
Last updated in NPPESSeptember 26, 2014
Mailing address1180 Ernest W Barrett Pkwy Nw, Suite 100, Kennesaw, GA 30144-4534