WELLSTAR ATLANTA GENERAL SURGERY, LLC (NPI# 1881754265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881754265 |
| Entity Type | Organization |
| Organization Name | WELLSTAR ATLANTA GENERAL SURGERY, LLC |
| Practice Address |
1790 Mulkey Road Suite 9a Austell GA 30106 |
| Practice Telephone | 7709447818 |
| Practice Fax Number | 7709446402 |
| Mailing Telephone | 7709447818 |
| Mailing Fax Number | 7709446402 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2009-05-04 |
| Authorized Official Name | NICOLE ASHE (ASST. VP OF FINANCE) |
| Authorized Official Telephone | 7707925261 |
| Is Organization Subpart | Y |
| Parent Organization Name | WELLSTAR HEALTH SYSTEM, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1790 MULKEY ROAD SUITE 9A |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598815698 | Barry Mitchell Renz | Surgery | 1700 Hospital South Dr Ste 202, Austell, GA 30106 | 2007-01-11 |
| 1114367711 | Tristan Keon Thomas | Surgery | 1700 Hospital South Dr Ste 202, Austell, GA 30106 | 2013-06-27 |
| 1720421969 | Wellstar Medical Group, LLC | Surgery | 1700 Hospital South Dr, Suite 202, Austell, GA 30106-6810 | 2013-04-08 |
| 1225321235 | Wellstar Medical Group, LLC | Surgery | 1810 Mulkey Rd, Suite 105, Austell, GA 30106-1151 | 2011-05-24 |
| 1316230329 | Wellstar Medical Group, LLC | Surgery | 1700 Hospital South Dr, Suite 202, Austell, GA 30106-6810 | 2011-05-24 |
| 1245347194 | Mark S Wyatt | Surgery | 1700 Hospital South Dr, Suite 202, Austell, GA 30106-6810 | 2006-08-24 |
| 1396756284 | Paulomi Sahir Shroff | Surgery | 1790 Mulkey Rd, Suite 9-c, Austell, GA 30106-1122 | 2006-08-10 |
| 1841207917 | Eric M Knauer | Surgery | 1700 Hospital South Dr, Suite 202, Austell, GA 30106-6810 | 2006-08-02 |
| 1285689844 | Wellstar Cobb Surgical Associates, LLC | Surgery | 1810 Mulkey Rd, Suite 105, Austell, GA 30106-1151 | 2006-05-23 |
| 1821065525 | Claus Brandigi | Surgery | 3950 Austell Rd, Austell, GA 30106-1121 | 2006-03-02 |
| Find all providers in AUSTELL | ||||
Please comment or provide details below to improve the information on WELLSTAR ATLANTA GENERAL SURGERY, LLC.
| 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.