OrganizationActive
Wellstar Medical Group, LLC
NPI 1073819124 · Pediatrics Physician · Austell, GA
Wellstar Medical Group, LLC is a Pediatrics Physician organization in Austell, GA (NPI 1073819124).
Provider details
- NPI number
- 1073819124
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Wellstar Medical Group, LLC
- Organization subpart
- Yes
- Authorized official
- Nicole Ashe, Executive Director of Finance(470) 644-0095
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1810 Mulkey Rd
Suite 201
Austell, GA 30106-1151
Phone: (770) 819-9262
Fax: (770) 819-0597
Street-level locationGet directions
Mailing address
1810 Mulkey Rd
Austell, GA 30106-1151
Other names (DBA / former)
- Doing business as
- Wellstar Pediatric & Adolescent Center
Registry dates
- Enumerated
- 2011-02-08
- Last updated
- 2013-11-18
Frequently asked questions
- What is Wellstar Medical Group, LLC's NPI number?
- Wellstar Medical Group, LLC's National Provider Identifier (NPI) is 1073819124, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wellstar Medical Group, LLC?
- Wellstar Medical Group, LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Wellstar Medical Group, LLC located?
- Wellstar Medical Group, LLC's practice location on file with NPPES is 1810 Mulkey Rd, Austell, GA 30106-1151.
- What is Wellstar Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Wellstar Medical Group, LLC is (770) 819-9262.
- Who is the authorized official for Wellstar Medical Group, LLC?
- The authorized official listed on Wellstar Medical Group, LLC's NPPES record is Nicole Ashe, Executive Director of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wellstar Medical Group, LLC's NPI active?
- Yes — Wellstar Medical Group, LLC's NPI (1073819124) is active in the NPPES registry as of the last update on 2013-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.