Wellstar West Cobb Medical Center, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WELLSTAR WEST COBB MEDICAL CENTER, LLC

Practice address

3707 Largent Way NW
Marietta, GA 30064-1672

Phone

(678) 581-5729

Fax

(678) 581-5719

NPI assigned

May 26, 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 2

Addresses

Part of

NW Ga Health System Inc

Locations

Practitioners 3

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.

• Edson Alexis, MD

  • Student in an Organized Health Care Education/Training Program
  • Acworth, GA
  • NPI 1215686043
  NPD (past)
• Dolapo Justinah Gbadehan, NP

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1477252047
  NPD (past)
• Marckenley Isaac, MD

  • Anesthesiology Physician
  • Marietta, GA
  • NPI 1689234106
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1396791679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 LARGENT WAY NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641672",
            "telephone_number": "678-581-5729",
            "fax_number": "678-581-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 LARGENT WAY NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641672",
            "telephone_number": "678-581-5729",
            "fax_number": "678-581-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTAR WEST COBB MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLSTAR HEALTH SYSTEM, INC.",
        "enumeration_date": "2006-05-26",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellstar Surgical Associates of Marietta
• Wellstar Surgical Associates of Marietta, LLC
• Wellstar Thoracic Surgery Associates, LLC
• Wellstar Urgent Care on Delk Road, LLC
• Wellstar Urgent Care on Sandy Plains Road, LLC
• Wellstar Woodlawn Commons Family Practice, LLC
• Wellstreet of Georgia PC
• Wellstreet of Georgia PC (Piedmont Urgent Care by Wellstreet)
• Wellstreet of Georgia PC
• Katelyn Welp, DC

• Family Medicine Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Family Medicine 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.