Wellstar Medical Group, LLC
NPI 1801715057ActiveOrganization· Physician Assistant· Marietta, GA
Physician Assistant in Marietta, Georgia, registered in NPPES in July 2026, part of Wellstar Medical Group, LLC. The authorized official on file is Louetta M. Cody, Credentialing.
Overview
| NPI | 1801715057 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Wellstar Medical Group, LLC |
| NPI issued | Jul 13, 2026 |
| Last updated in NPPES | Jul 13, 2026 |
| Certified by provider | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 Assistant providers in Marietta
- 1144107038
- 1174187967
- 1518207950
- 1417789637
- 1134875206
- 1225678865
- 1982084919
- 1790181014
- 1447880984
- 1427018068
- 1912925520
- 1447464615