Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Wellstar Shallowford Medical Center, LLC

Organization Internal Medicine Physician · NPI 1144276270

Wellstar Shallowford Medical Center, LLC provides Internal Medicine Physician services in Marietta, Georgia. Registered with an NPI since 2006.

In the registry since
2006
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

3921 Shallowford Rd
Marietta, GA 30062-5013 Not confirmed with CMS for 18 years — call before visiting
Phone: (770) 649-9100
Fax: (770) 949-9092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1144276270
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWellstar Health System, Inc
Authorized official Nicole Ashe — Executive Director Of Finance · (770) 792-5261
NPI enumeratedMay 26, 2006
Last updated in NPPESJuly 14, 2008
Mailing address3921 Shallowford Rd, Marietta, GA 30062-5013

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