OrganizationActive
Wellstar Medical Group, LLC
NPI 1942593959 · Hospice and Palliative Medicine (Family Medicine) Physician · Austell, GA
Provider details
- NPI number
- 1942593959
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative 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
Practice location
4040 Hospital West Dr
Austell, GA 30106-8117
Phone: (770) 732-6798
Fax: (770) 732-6732
Approximate (ZIP-level) locationGet directions
Mailing address
4040 Hospital West Dr
Austell, GA 30106-8117
Other names (DBA / former)
- Doing business as
- Wellstar Palliative Medicine
Registry dates
- Enumerated
- 2011-05-24
- Last updated
- 2013-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.