OrganizationActive
Wellstar Medical Group, LLC
NPI 1851684864 · Child & Adolescent Psychiatry Physician · Austell, GA
Provider details
- NPI number
- 1851684864
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Wellstar Medical Group, LLC
- Organization subpart
- Yes
- Authorized official
- Nicole Ashe, Executive Director of Finance(770) 792-5261
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
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
1680 Hospital South Dr
Austell, GA 30106-8110
Phone: (770) 634-2349
Fax: (770) 941-9919
Street-level locationGet directions
Mailing address
1680 Hospital South Dr
Austell, GA 30106-8110
Other names (DBA / former)
- Doing business as
- Wellstar Pediatric & Family Wellness Center
Registry dates
- Enumerated
- 2011-05-24
- Last updated
- 2011-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.