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 1992001952

Wellstar Medical Group, LLC provides Pediatrics Physician services in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
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

760 Kennesaw Ave NW
Marietta, GA 30060-6909 Not confirmed with CMS for 12 years — call before visiting
Phone: (770) 427-0183
Fax: (770) 427-0788
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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 number1992001952
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 Kenmar Pediatrics
NPI enumeratedFebruary 8, 2011
Last updated in NPPESNovember 18, 2013
Mailing address760 Kennesaw Ave Nw, Marietta, GA 30060-6909

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