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

Mr. Winston Douglas II

Individual provider Acute Care Nurse Practitioner · NPI 1285268904

Mr. Winston Douglas II is a Nurse Practitioner in Marietta, Georgia. Qualified in 2019, 7 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2020
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Practice location Address checks out

677 Church St NE
Marietta, GA 30060-1101
Phone: (770) 422-2326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN216043 (GA)

Record details

NPI number1285268904
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 3, 2020
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Wellstar Kennestone Regional Medical Center Hospital · Marietta, GA

Colleagues at Wellstar Medical Group LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3072 clinicians in the practice; 12 are shown here.

Other providers in Marietta