Wellstar North Cobb Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WELLSTAR NORTH COBB PEDIATRICS, LLC

Practice address

205 Hawkins Store Rd
Suite B-1
Kennesaw, GA 30144

Phone

(770) 928-0862

Fax

(770) 928-2286

NPI assigned

Jun 12, 2006

Last updated

Jul 14, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

WELLSTAR HEALTH SYSTEM, INC.As reported in NPPES

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

Authorized official

Name

Nicole Ashe

Title

Executive Director of Finance

Phone

(770) 792-5261

Specialties & licenses 1

Addresses

Part of

Wellstar Behavioral Hea

Locations

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1174565311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HAWKINS STORE RD",
            "address_2": "SUITE B-1",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30144",
            "telephone_number": "770-928-0862",
            "fax_number": "770-928-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HAWKINS STORE RD",
            "address_2": "SUITE B-1",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30144",
            "telephone_number": "770-928-0862",
            "fax_number": "770-928-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTAR NORTH COBB PEDIATRICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLSTAR HEALTH SYSTEM, INC.",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "ASHE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "770-792-5261"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wellstar Medical Group, LLC (WellStar Family Medicine ACW)
• Wellstar Medical Group, LLC (WellStar Kennesaw State University Student Health Services)
• Wellstar Medical Group, LLC (WellStar North Cobb Pediatrics)
• Wellstar Medical Group, LLC (WellStar Pediatric Anesthesia)
• Wellstar Pediatrics at Brookstone, LLC
• Wellstar Urgent Care in Kennesaw, LLC
• Wellstreet of Georgia PC
• Aubree Welsh, APRN, WHNP-BC
• West Cobb Orthodontics LLC

• Pediatrics Physician in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.