Wellstar Medical Group East Paulding Pediatrics
NPI 1396738381ActiveOrganization· Specialist· Hiram, GA
Specialist in Hiram, Georgia, registered in NPPES in August 2005, part of Wellstar Medical Group. The authorized official on file is Kelly Davillier, MD, Physician.
Overview
| NPI | 1396738381 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Wellstar Medical Group |
| NPI issued | Aug 25, 2005 |
| Last updated in NPPES | Dec 8, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 024912 | LA |
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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