OrganizationActive
Wellstar Physicians Group Hospitalists, LLC
NPI 1629025754 · Internal Medicine Physician · Marietta, GA
Provider details
- NPI number
- 1629025754
- Entity type
- Organization
- Primary specialty
- Internal Medicine 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
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
677 Church St Ne
Box 111
Marietta, GA 30060-1101
Phone: (770) 793-7750
Fax: (770) 792-7755
Street-level locationGet directions
Mailing address
677 Church St Ne
Marietta, GA 30060-1101
Other names (DBA / former)
- Doing business as
- Wellstar Physicians Group Kennestone Hospitalists, LLC
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 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.