Wellstar Medical Group, LLC
NPI 1114207461ActiveOrganization· Psychologist· Marietta, GA
Psychologist in Marietta, Georgia, registered in NPPES in August 2011, part of Wellstar Medical Group, LLC. The authorized official on file is Nicole Ashe, Executive Director Of Finance.
Overview
| NPI | 1114207461 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Wellstar Medical Group, LLC |
| NPI issued | Aug 18, 2011 |
| Last updated in NPPES | Nov 19, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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