Wellstar Medical Group, LLC
Anesthesiology, Pain Medicine in Marietta, GA. Organization (NPI-2).
NPI number1972907293
StatusActive
Last updated in NPPESJul 9, 2015
Details
- NPI
- 1972907293
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellstar Medical Group, LLC
- Organization subpart
- Yes
- Enumeration date
- Oct 15, 2014
- Last updated
- Jul 9, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | – | GA | Yes |
Other names
- Wellstar Pain Medicine (Doing Business As)
Practice location
3747 Roswell Rd NeSuite 311
Marietta, GA 30062-6227
Phone 770-422-2326 · Fax 770-422-7797
Mailing address
3747 Roswell Rd NeSuite 311
Marietta, GA 30062-6227
Phone 770-422-2326 · Fax 770-422-7797
Authorized official
Nicole Ashe
Executive Director Of Finance
4706440095
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