Wellstar Medical Group, LLC
NPI 1669817995ActiveOrganization· Internal Medicine, Critical Care Medicine· Marietta, GA
Internal Medicine, Critical Care Medicine in Marietta, Georgia, registered in NPPES in April 2013, part of Wellstar Medical Group, LLC. The authorized official on file is Nicole Ashe, Executive Director Of Finance.
Overview
| NPI | 1669817995 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Wellstar Medical Group, LLC |
| NPI issued | Apr 30, 2013 |
| Last updated in NPPES | Nov 18, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Critical Care Medicine Primary | 207RC0200X | — | GA |
| Internal Medicine | 207R00000X | — | GA |
| Internal Medicine, Pulmonary Disease | 207RP1001X | — | 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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