Wellstar Medical Group, LLC
Otolaryngology in Austell, GA. Organization (NPI-2).
NPI number1982900551
StatusActive
Last updated in NPPESJan 31, 2011
Details
- NPI
- 1982900551
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellstar Medical Group, LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 31, 2011
- Last updated
- Jan 31, 2011
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 |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | – | GA | Yes |
Other names
- Wellstar Bi-County Ent (Doing Business As)
Practice location
1790 Mulkey RdAustell, GA 30106-1122
Phone 770-819-1435 · Fax 770-819-3946
Mailing address
1790 Mulkey RdAustell, GA 30106-1122
Phone 770-819-1435 · Fax 770-819-3946
Authorized official
Nicole Ashe
Executive Director Of Finance
7707925261
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