Wellstar Medical Group, LLC
NPI 1457771925ActiveOrganization· Pediatrics· Kennesaw, GA
Pediatrics in Kennesaw, Georgia, registered in NPPES in April 2014, part of Wellstar Medical Group, LLC. The authorized official on file is Nicole Ashe, Executive Director Of Finance.
Overview
| NPI | 1457771925 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Wellstar Medical Group, LLC |
| NPI issued | Apr 23, 2014 |
| Last updated in NPPES | Jun 10, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | GA |
| Clinic/Center, Urgent Care | 261QU0200X | — | 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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