Wellstar Kennestone Pediatric Associates, LLC
NPI 1083660682 · Pediatrics Physician · Marietta, GA
Wellstar Kennestone Pediatric Associates, LLC is a Pediatrics Physician organization in Marietta, GA (NPI 1083660682).
Provider details
- NPI number
- 1083660682
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Wellstar Health System, Inc.
- Organization subpart
- Yes
- Authorized official
- Nicole Ashe, Executive Director of Finance(770) 792-5261
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2008-07-14
Frequently asked questions
- What is Wellstar Kennestone Pediatric Associates, LLC's NPI number?
- Wellstar Kennestone Pediatric Associates, LLC's National Provider Identifier (NPI) is 1083660682, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wellstar Kennestone Pediatric Associates, LLC?
- Wellstar Kennestone Pediatric Associates, LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Wellstar Kennestone Pediatric Associates, LLC located?
- Wellstar Kennestone Pediatric Associates, LLC's practice location on file with NPPES is 1371 Church Street Ext Ne, Marietta, GA 30060-7913.
- What is Wellstar Kennestone Pediatric Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Wellstar Kennestone Pediatric Associates, LLC is (770) 422-8315.
- Who is the authorized official for Wellstar Kennestone Pediatric Associates, LLC?
- The authorized official listed on Wellstar Kennestone Pediatric Associates, 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 Kennestone Pediatric Associates, LLC's NPI active?
- Yes — Wellstar Kennestone Pediatric Associates, LLC's NPI (1083660682) is active in the NPPES registry as of the last update on 2008-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.