OrganizationActive
Wellstar Infectious Disease, LLC
NPI 1093760282 · Infectious Disease Physician · Marietta, GA
Provider details
- NPI number
- 1093760282
- Entity type
- Organization
- Primary specialty
- Infectious Disease 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
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
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
55 Whitcher St Ne
Suite 220
Marietta, GA 30060-1155
Phone: (770) 429-0083
Fax: (770) 425-0137
Street-level locationGet directions
Mailing address
55 Whitcher St Ne
Marietta, GA 30060-1155
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2011-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.