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Export Provider Record NPI 1003171422
Wellstar Medical Group, Llc
Organization Subpart: YES
Active
NPI Number1003171422
NPI TypeNPI-2 Organization
SpecialtyInternal Medicine
Provider Details
NPI1003171422
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2012-07-11
Last Updated2013-11-18
Authorized OfficialNicole Ashe
Executive Director of Finance
Phone: 4706440095
Mailing Address4550 Cobb Parkway North Nw, Suite 201b
Acworth, GA 30101-4180
United States
Phone: (770) 917-8160 | Fax: (770) 529-1167
📍 View Map
Primary Practice Address4550 Cobb Parkway North Nw, Suite 201b
Acworth, GA 30101-4180
United States
Phone: (770) 917-8160 | Fax: (770) 529-1167
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal MedicineGA
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About NPI 1003171422

Wellstar Medical Group, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1003171422. The primary specialty listed is Internal Medicine. The organization is located in Acworth, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-07-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1003171422?

NPI 1003171422 belongs to Wellstar Medical Group, Llc, a Internal Medicine in Acworth, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1003171422 active?

The current status of NPI 1003171422 in the NPPES registry is Active. The record was last updated on 2013-11-18.

What specialty is NPI 1003171422?

NPI 1003171422 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1003171422?

You can verify NPI 1003171422 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1003171422?

The primary practice address on file for NPI 1003171422 is 4550 Cobb Parkway North Nw, Acworth, GA 30101-4180. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1003171422 issued?

NPI 1003171422 was first issued (enumerated) on 2012-07-11. The NPPES record was last updated on 2013-11-18.

Practice Location Map

Wellstar Medical Group, Llc is located at 4550 Cobb Parkway North Nw, Acworth, GA. Use the map below to find directions or verify the practice location.

📍 4550 Cobb Parkway North Nw, Acworth, GA 30101-4180  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Wellstar Medical Group, Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-05 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162