Wellstar Medical Group, LLC
NPI 1376447961ActiveOrganization· Physician Assistant· Lagrange, GA
Physician Assistant in Lagrange, Georgia, registered in NPPES in October 2026, part of Wellstar Medical Group, LLC. The authorized official on file is Natasha Howard, Credentialing.
Overview
| NPI | 1376447961 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Wellstar Medical Group, LLC |
| NPI issued | Oct 6, 2026 |
| Last updated in NPPES | Oct 6, 2026 |
| Certified by provider | Oct 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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 |
|---|
Other physician assistants in Lagrange
- 1407522501
- 1518373059
- 1578257903
- 1588093587
- 1619128741
- 1679950729
- 1932683802
- 1679112387
- 1023296811
- 1316059793
- 1598077398
- 1790311223
All 19 physician assistants in Lagrange · All physician assistants in Georgia