OrganizationActive
Wellstar Medical Group, LLC
NPI 1275814964 · Geriatric Medicine (Family Medicine) Physician · Marietta, GA
Provider details
- NPI number
- 1275814964
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) 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
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Practice location
3939 Roswell Rd
Suite 240
Marietta, GA 30062-6251
Phone: (678) 403-4660
Fax: (770) 971-6994
Approximate (ZIP-level) locationGet directions
Mailing address
3939 Roswell Rd
Marietta, GA 30062-6251
Other names (DBA / former)
- Doing business as
- Wellstar Family Medicine & Geriatric Medicine
Registry dates
- Enumerated
- 2011-09-08
- Last updated
- 2013-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.