Wellstar Medical Group, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WELLSTAR MEDICAL GROUP, LLC

Practice address

1800 Parkway PL SE
Marietta, GA 30067-8200

Phone

(470) 267-2433

NPI assigned

Feb 18, 2016

Last updated

Oct 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Donna Waters

Title

VP

Phone

(615) 971-5723

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Wellstar Medical Group, LLC

  dba WellStar Family Medicine ACW

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003

  6709065402

  Same PAC ID

Locations (25 of 105)

Interoperability endpoints

• Direct secure messaging: aachtchi298869@directwellstar.org
• Direct secure messaging: aadesokan63838@directwellstar.org
• Direct secure messaging: aadler345740@directwellstar.org
• Direct secure messaging: aahmad130281@directwellstar.org
• Direct secure messaging: aahuja97937@directwellstar.org
• Direct secure messaging: aakhigbade340919@directwellstar.org
• Direct secure messaging: aalbano171938@directwellstar.org
• Direct secure messaging: aallyn94905@directwellstar.org
• Direct secure messaging: aando92811@directwellstar.org
• Direct secure messaging: aarumugasaamy163448@directwellstar.org
• Direct secure messaging: aawoniyi126616@directwellstar.org
• Direct secure messaging: aaziz62037@directwellstar.org
• Direct secure messaging: ababar86469@directwellstar.org
• Direct secure messaging: ababayeuski29507@directwellstar.org
• Direct secure messaging: abadri379689@directwellstar.org
• Direct secure messaging: abarfield123270@directwellstar.org
• Direct secure messaging: abeckford7392@directwellstar.org
• Direct secure messaging: abhatnagar56254@directwellstar.org
• Direct secure messaging: abillingslea91374@directwellstar.org
• Direct secure messaging: abomar12389@directwellstar.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• A. G. Rhodes Home, Cobb Inc.

  • Skilled Nursing Facility
  • Marietta, GA
  • NPI 1689671679

  Adp of the SNF

  CMS ownership

Practitioners 4,317

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.

• Justin Michael Croft, PA-C

  • Physician Assistant
  • Aiken, SC
  • NPI 1770835522
  Medicare reassignment Care Compare group NPD
• Lauren Snyder George, PA-C

  • Physician Assistant
  • Aiken, SC
  • NPI 1598168833
  Medicare reassignment Care Compare group NPD
• Kaitlyn Elizabeth Groomes, PA-C

  • Medical Physician Assistant
  • Aiken, SC
  • NPI 1760120026
  Medicare reassignment Care Compare group NPD
• Lindsay J Hammett, FNP

  • Family Nurse Practitioner
  • Aiken, SC
  • NPI 1851656078
  Medicare reassignment Care Compare group NPD
• Laura G Harriott, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Aiken, SC
  • NPI 1861225229
  Medicare reassignment Care Compare group NPD
• Brittany Minor Lee, APRN, NP-C

  • Family Nurse Practitioner
  • Aiken, SC
  • NPI 1174907893
  Medicare reassignment Care Compare group NPD
• Michelle M. Lyon, M.D.

  • Neurology Physician
  • Aiken, SC
  • NPI 1164476479
  Medicare reassignment Care Compare group NPD
• Jennifer Lynn Mooneyham, PA-C

  • Physician Assistant
  • Greenville, SC
  • NPI 1467164293
  Medicare reassignment Care Compare group NPD
• Megan Plunkett, FNP-B.C.

  • Family Nurse Practitioner
  • Aiken, SC
  • NPI 1609576610
  Medicare reassignment Care Compare group NPD
• Stephen C Youmans, MD

  • Family Medicine Physician
  • Aiken, SC
  • NPI 1801819834
  Medicare reassignment Care Compare group NPD
• Jennifer Tomlinson Allen, M.D.

  • Obstetrics & Gynecology Physician
  • Augusta, GA
  • NPI 1487975702

  SC

  Medicare reassignment NPD
• Benjamin Barnes, MD

  • Neuromusculoskeletal Medicine & OMM Physician
  • Augusta, GA
  • NPI 1760866545

  SC

  Medicare reassignment NPD

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1275992240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742322",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PARKWAY PL SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678200",
            "telephone_number": "470-267-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTAR MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-971-5723",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wellstar Medical Group, LLC (WellStar Surgical Associates of Marietta)
• Wellstar Medical Group, LLC (WellStar Kennestone Ob/Gyn)
• Wellstar Medical Group, LLC (WellStar Infectious Disease)
• Wellstar Medical Group, LLC (WellStar Family Medicine EC)
• Wellstar Medical Group, LLC (WellStar Family Medicine & Geriatric Medicine)
• Wellstar Medical Group, LLC (WellStar Cardiovascular Medicine)
• Wellstar Medical Group, LLC (WellStar Pediatric Professionals)
• Wellstar Medical Group, LLC (WellStar Structural Heart Clinic)
• Wellstar Medical Group, LLC (WellStar SafePath Childrens Advocacy Center)
• Wellstar Medical Group, LLC (WellStar Physician's Group Hospitalists)

• Multi-Specialty Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.