OrganizationActive
Wellstar Medical Group, LLC
NPI 1982900551 · Otolaryngology Physician · Austell, GA
Provider details
- NPI number
- 1982900551
- Entity type
- Organization
- Primary specialty
- Otolaryngology 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(82/100 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
1790 Mulkey Rd
Austell, GA 30106-1122
Phone: (770) 819-1435
Fax: (770) 819-3946
Street-level locationGet directions
Mailing address
1790 Mulkey Rd
Austell, GA 30106-1122
Other names (DBA / former)
- Doing business as
- Wellstar Bi-County Ent
Registry dates
- Enumerated
- 2011-01-31
- Last updated
- 2011-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.