Wellstar Medical Group, LLC
NPI 1376849919ActiveOrganization· Family Medicine· Kennesaw, GA
Family Medicine in Kennesaw, Georgia, registered in NPPES in January 2011, part of Wellstar Medical Group, LLC. The authorized official on file is Nicole Ashe, Executive Director Of Finance.
Overview
| NPI | 1376849919 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Wellstar Medical Group, LLC |
| NPI issued | Jan 30, 2011 |
| Last updated in NPPES | Nov 18, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | GA |
| Internal Medicine | 207R00000X | — | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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