NPIMap

Organization Active NPI

Wellstar Home Health, LLC

Doing business as WellStar Home Health

  • Home Health Agency
  • Marietta, GA
National Provider Identifier
1073591376
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
003-141 Issued in GA
Legal business name
WELLSTAR HOME HEALTH, LLC
Doing business as
WellStar Home Health
Practice address
1800 Parkway PL SE Ste 720
Marietta, GA 30067-8295
Phone
(470) 267-4900
Fax
(770) 792-1650
NPI assigned
Jan 6, 2006
Last updated
Feb 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
WELLSTAR HEALTH SYSTEM, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
John G Kerndl
Title
Evp
Phone
(470) 644-0076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 003-141 GA Primary

Addresses

Primary practice location

1800 Parkway PL SE Ste 720
Marietta, GA 30067-8295

Mailing address

1800 Parkway PL SE Ste 720
Marietta, GA 30067-8295
Phone (470) 267-4900

Other identifiers 4

IdentifierTypeStateIssuer
00482886AMedicaidGA
580968382-003OtherBC/BS
580968382-008OtherTRICARE
2360094OtherAETNA

Other names 1

  • WellStar Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110506000045 GA Part A Provider - Home Health Agency 8729263751 Practice locations: Marietta, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073591376. Details of each certification follow.

Home health agency certification: CCN 117102

Legal name
WELLSTAR HOME HEALTH, LLC
Doing business as
WELLSTAR HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 19, 1992
Last certification
Jan 24, 2019
Ownership / control type
Non-Profit
Organization structure
LLCProprietary
Incorporated
May 28, 2009 in GA
Enrollment address
1800 Parkway PL SE
Ste 720
Marietta, GA 30067-8295

Care Compare: Home health agency

Medicare Care Compare
Listed as
Wellstar Home Health, LLCCCN 117102 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Feb 19, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0856430Wellstar Home Health1800 Parkway Place, SE, Suite 720, Marietta, GA 30067Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Cobb Hosp Medical Cen4 organizations share this tax ID, including this one
Part of
Wellstar Behavioral Hea

Other organizations with this tax ID 3

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

Locations

1800 Parkway Pl SE
Ste 720
Marietta, GA 30067
Phone (470) 267-4900

582 Concord Rd SE
Ste D
Smyrna, GA 30082

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William C Brock Individual Corporate DirectorBoard Member Jul 1, 2016 5%
Avril Patricia Beckford Individual Corporate DirectorBoard Member Jul 1, 2011 5%
Terrell Johnson Individual Corporate DirectorBoard Member Jul 1, 2010 5%
Orrin S Swayze Individual Corporate DirectorBoard Member Jul 1, 2014 5%
John C McKibben Individual Corporate DirectorBoard Member Aug 1, 2019 5%
Hiram Speer Burdette Individual Corporate DirectorBoard Member Apr 1, 2016 5%
Paul Lawrence Douglass Individual Corporate DirectorBoard Member Aug 22, 2016 5%
Mitzi Moore Individual Corporate DirectorBoard Member Jul 1, 2014 5%
Ambica Yadav Individual Corporate DirectorBoard Member Mar 2, 2017 5%
James Glen Cunningham Individual Corporate DirectorBoard Member Mar 4, 2021 5%
Anthony Budzinski Individual Corporate Director Sep 2, 2010
W-2 Managing Employee Jul 7, 2008
Ebenezer Erzuah Individual W-2 Managing EmployeeExec. Director of Reimbursement Jul 1, 2021
Mark Berry Individual Corporate DirectorBoard Member Oct 7, 2021 5%
James Holmes Individual Corporate DirectorBoard Member Apr 4, 2016 5%
James Swartz Individual Corporate Director Mar 1, 2011
W-2 Managing Employee Mar 2, 2010
Greg Morgan Individual Corporate DirectorBoard Member Jul 1, 2014 5%
James L Hornsby Individual Corporate DirectorBoard Member Jul 1, 2018 5%
Edward Richardson Individual Corporate DirectorBoard Member Apr 4, 2019 5%
Arif Abdul Aziz Individual Corporate DirectorBoard Member Jul 1, 2019 5%
David Bottoms Individual Corporate DirectorBoard Member Feb 2, 2023 5%
Wellstar Home Health, LLC Organization, Marietta, GA 5% Or Greater Direct Ownership Interest Jul 1, 2010
Operational/Managerial Control Jul 1, 2010
Frank Ros Individual Corporate DirectorBoard Member Aug 25, 2012 5%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 169

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 169

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1073591376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PARKWAY PL SE STE 720",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678295",
            "telephone_number": "470-267-4900",
            "fax_number": "770-792-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PARKWAY PL SE STE 720",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678295",
            "telephone_number": "470-267-4900",
            "fax_number": "770-792-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTAR HOME HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLSTAR HEALTH SYSTEM, INC",
        "enumeration_date": "2006-01-06",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "KERNDL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "470-644-0076"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "003-141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00482886A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "580968382-003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "580968382-008",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2360094",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellStar Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellStar Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.