NPIMap

Organization Active NPI

Wellstar Health Systems

  • Medical Specialty Clinic/Center
  • Austell, GA
National Provider Identifier
1013330364
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
64951 Issued in GA
Legal business name
WELLSTAR HEALTH SYSTEMS
Practice address
1680 Hospital South Dr
Austell, GA 30106-8110
Phone
(470) 956-8364
NPI assigned
Jan 22, 2014
Last updated
Feb 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Raxit R Patel, M.D.
Title
Physician
Phone
(470) 956-8364

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 64951 GA Primary
General Acute Care Hospital 282N00000X 64951 GA

Addresses

Primary practice location

1680 Hospital South Dr
Austell, GA 30106-8110

Mailing address

1680 Hospital South Dr
Austell, GA 30106-8110
Phone (470) 956-8364

National Provider Directory

National Provider Directory
Tax ID family
Wellstar Behavioral Hea5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1013330364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 HOSPITAL SOUTH DR",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301068110",
            "telephone_number": "470-956-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 HOSPITAL SOUTH DR",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301068110",
            "telephone_number": "470-956-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTAR HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAXIT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "470-956-8364",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "64951",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "64951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.