Wellstar Kennesaw Medical Center, LLC
NPI 1912953621 · Internal Medicine Physician · Kennesaw, GA
Wellstar Kennesaw Medical Center, LLC is a Internal Medicine Physician organization in Kennesaw, GA (NPI 1912953621).
Provider details
- NPI number
- 1912953621
- 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
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2008-07-14
Frequently asked questions
- What is Wellstar Kennesaw Medical Center, LLC's NPI number?
- Wellstar Kennesaw Medical Center, LLC's National Provider Identifier (NPI) is 1912953621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wellstar Kennesaw Medical Center, LLC?
- Wellstar Kennesaw Medical Center, LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wellstar Kennesaw Medical Center, LLC located?
- Wellstar Kennesaw Medical Center, LLC's practice location on file with NPPES is 3805 Cherokee St Nw, Kennesaw, GA 30144-2085.
- What is Wellstar Kennesaw Medical Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Wellstar Kennesaw Medical Center, LLC is (770) 426-5666.
- Who is the authorized official for Wellstar Kennesaw Medical Center, LLC?
- The authorized official listed on Wellstar Kennesaw Medical Center, 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 Kennesaw Medical Center, LLC's NPI active?
- Yes — Wellstar Kennesaw Medical Center, LLC's NPI (1912953621) is active in the NPPES registry as of the last update on 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.