Wellstar Medical Group, LLC
NPI 1558664003 · Family Medicine Physician · Kennesaw, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wellstar Medical Group, LLC is a Family Medicine Physician organization in Kennesaw, GA (NPI 1558664003).
Provider details
- NPI number
- 1558664003
- Entity type
- Organization
- Primary specialty
- 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
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Wellstar Family Medicine Acw
Registry dates
- Enumerated
- 2010-12-06
- Last updated
- 2013-11-19
Frequently asked questions
- What is Wellstar Medical Group, LLC's NPI number?
- Wellstar Medical Group, LLC's National Provider Identifier (NPI) is 1558664003, 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 Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wellstar Medical Group, LLC located?
- Wellstar Medical Group, LLC's practice location on file with NPPES is 5150 Stilesboro Rd Nw, Kennesaw, GA 30152-7744.
- What is Wellstar Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Wellstar Medical Group, LLC is (678) 354-0230.
- Does Wellstar Medical Group, LLC accept Medicare?
- Wellstar Medical Group, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 (1558664003) is active in the NPPES registry as of the last update on 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.