WELLSTAR MEDICAL GROUP, LLC (NPI# 1326333907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326333907 |
| Entity Type | Organization |
| Organization Name | WELLSTAR MEDICAL GROUP, LLC |
| Other Organization Name | WELLSTAR HAND SURGERY |
| Practice Address |
4550 Cobb Parkway Nw Suite 309-b Acworth GA 30101-4180 |
| Practice Telephone | 7709176795 |
| Practice Fax Number | 7705299077 |
| Mailing Telephone | 7709176795 |
| Mailing Fax Number | 7705299077 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2013-11-19 |
| Authorized Official Name | MRS. NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 4706440095 |
| Is Organization Subpart | Y |
| Parent Organization Name | WELLSTAR MEDICAL GROUP, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WellStar Hand Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356736250 | Wellstar Medical Group, LLC | Pediatrics | 736 Whitlock Ave Nw, Suite 600, Marietta, GA 30064-0001 | 2015-03-30 |
| 1255633004 | Wellstar Medical Group, LLC | Family Medicine | 3747 Roswell Rd Ne, Suite 216, Marietta, GA 30062-6234 | 2010-11-30 |
| 1639533896 | Wellstar Medical Group, LLC | Surgery | 8954 Hospital Dr, Douglasville, GA 30134-2272 | 2016-04-13 |
| 1275992240 | Wellstar Medical Group, LLC | Clinic/Center | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2016-02-18 |
| 1821466509 | Wellstar Medical Group, LLC | Internal Medicine | 1605 Mulkey Rd, Suite 220, Austell, GA 30106-1127 | 2015-09-11 |
| 1346624160 | Wellstar Medical Group, LLC | Internal Medicine | 1605 Mulkey Rd, Suite 220, Austell, GA 30106-1127 | 2015-07-10 |
| 1588059653 | Wellstar Medical Group, LLC | Family Medicine | 12 Medical Dr Ne, Cartersville, GA 30121-8002 | 2015-04-05 |
| 1720471931 | Wellstar Medical Group, LLC | Pediatrics | 677 Church St Ne, Suite 100 P, Marietta, GA 30060-1101 | 2015-03-12 |
| 1811380025 | Wellstar Medical Group, LLC | Psychiatry & Neurology | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 | 2015-03-12 |
| 1922405729 | Wellstar Medical Group, LLC | Family Medicine | 11685 Alpharetta Hwy, Suite 300, Roswell, GA 30076-4910 | 2014-11-24 |
| Street Address |
4550 COBB PARKWAY NW SUITE 309-B |
| City | ACWORTH |
| State | GA |
| Zip Code | 30101-4180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104281187 | Jennifer Bush | Nurse Practitioner | 4550 Cobb Parkway Nw, Acworth, GA 30301 | 2015-12-17 |
| 1821352964 | Wellstar Medical Group, LLC | Internal Medicine | 4550 Cobb Parkway Nw, Suite 201, Acworth, GA 30101 | 2012-07-03 |
| 1386908184 | Pinnacle Orthopaedics & Sports Medicine Specialists, LLC | Physical Medicine & Rehabilitation | 4550 Cobb Parkway Nw, Suite 309g, Acworth, GA 30101-0000 | 2012-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931552 | A3j Incorporated | Registered Nurse | 3905 Cobb Pkwy Nw Ste 305, Acworth, GA 30101 | 2020-01-22 |
| 1043869852 | Sharron Leigh Lipscomb | Acupuncturist | 3661 Cedarcrest Rd Ste 320, Acworth, GA 30101 | 2019-09-05 |
| 1699322933 | Cowry Home Dialysis LLC | Durable Medical Equipment & Medical Supplies | 4450 Calibre Crossings Nw, Suite # 1122, Acworth, GA 30101 | 2019-08-21 |
| 1760979595 | Sandra Jeanetta Pugh | Counselor | 118 Clubhouse Crossing, Acworth, GA 30101 | 2018-04-17 |
| 1679926950 | Cindy Hatfield Fruits | Psychologist | 4839 N. Main Street, Acworth, GA 30101 | 2016-07-21 |
| 1396192563 | Philip Young | Specialist/Technologist | 4841 Lake Park Lane, Acworth, GA 30101 | 2016-05-18 |
| 1770960619 | Karen Fuller | Marriage & Family Therapist | 2487 Cedarcrest Rd Ste 722, Acworth, GA 30101 | 2015-04-29 |
| 1366830333 | Willard Hogan IIi | Physician Assistant | 1720 Mars Hill Rd Nw Ste 8-175, Acworth, GA 30101 | 2014-12-29 |
| 1386042083 | Sebastian Diaz Fischer | Chiropractor | 2639 Hickory Grove Rd, Suit 150, Ackworth, GA 30101 | 2014-12-11 |
| 1841699337 | J Chappell Md PC | Dermatology | 4450 Calibre Crossings, Suite 1208, Acworth, GA 30101 | 2014-08-20 |
| Find all providers in zip 30101 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962680991 | Daniel Judah Holtz | Surgery | 4550 Cobb Parkway North Nw, Suite #309b, Acworth, GA 30101-4180 | 2008-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709490 | Lunate Surgery Center, LLC | Surgery | 6115 Peachtree Dunwoody Rd Ste 230, Sandy Springs, GA 30328-5546 | 2020-10-26 |
| 1447540828 | Steven Benjamin Watson | Surgery | 3968 Felton Hill Rd, Suite 100, Smyrna, GA 30082-3522 | 2011-04-19 |
| 1609013036 | Michael Mangonon | Surgery | 3775 Roswell Rd, Suite 250, Marietta, GA 30062-8836 | 2009-01-07 |
| 1083812523 | Viralkumar Sureshchandra Patel | Surgery | 3903 South Cobb Drive, Suite 200, Smyrna, GA 30080 | 2007-07-06 |
| 1831396225 | Brandy Noelle Cross | Surgery | 3747 Roswell Rd Ste 312, Marietta, GA 30062-6227 | 2007-06-28 |
| 1992063606 | Georgia Plastic Surgery Consultants, LLC | Surgery | 1100 Northside Forsyth Dr, Suite 420, Cumming, GA 30041-6012 | 2012-05-01 |
| 1639408123 | Dkumar LLC | Surgery | 3903 South Cobb Drive, Suite 200, Smyrna, GA 30080 | 2009-12-14 |
| 1144460510 | Precision Hand and Reconstructive Surgery | Surgery | 2801 N Decatur Rd, Suite 395, Decatur, GA 30033-5949 | 2009-02-25 |
| 1083818926 | Steven Hugh Bailey | Surgery | 3450 Acworth Due West Rd Nw, #200, Kennesaw, GA 30144-1001 | 2007-06-13 |
| 1588620256 | Jeffrey Klugman | Surgery | 980 Johnson Ferry Rd Ne, Ste 1020, Atlanta, GA 30342 | 2006-04-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.