Wellstar Medical Group, LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

WELLSTAR MEDICAL GROUP, LLC

Doing business as

OrthoXpress of LaGrange

Practice address

1302 Lafayette Pkwy Ste C
Lagrange, GA 30241-2611

Phone

(470) 944-5290

Fax

(470) 944-5291

NPI assigned

Oct 6, 2026

Last updated

Oct 6, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

WELLSTAR MEDICAL GROUP, LLCAs reported in NPPES

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

Authorized official

Name

Natasha Howard

Title

Credentialing

Phone

(762) 930-8572

Specialties & licenses 2

Addresses

Other names 1

• OrthoXpress of LaGrange Doing business as

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1376447961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 OXFORD RD",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523115",
            "telephone_number": "662-534-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 LAFAYETTE PKWY STE C",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412611",
            "telephone_number": "470-944-5290",
            "fax_number": "470-944-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTAR MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLSTAR MEDICAL GROUP, LLC",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "762-930-8572"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoXpress of LaGrange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physician Assistant in Lagrange, GA
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• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.