Wellstar Cobb Rehabilitation Medicine, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

WELLSTAR COBB REHABILITATION MEDICINE, LLC

Practice address

1680 Hospital Drive
Austell, GA 30106

Phone

(678) 945-2071

Fax

(770) 941-3870

NPI assigned

Jun 8, 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

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1467492033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 HOSPITAL DRIVE",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "30106",
            "telephone_number": "678-945-2071",
            "fax_number": "770-941-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 HOSPITAL DRIVE",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "30106",
            "telephone_number": "678-945-2071",
            "fax_number": "770-941-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTAR COBB REHABILITATION MEDICINE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLSTAR HEALTH SYSTEM, INC.",
        "enumeration_date": "2006-06-08",
        "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": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellstar Cardiovascular Medicine, LLC
• Wellstar Cobb Family Medicine, LLC
• Wellstar Cobb Hospital Cancer Center LLC
• Wellstar Cobb Hospitalists, LLC
• Wellstar Cobb Medical Group, LLC
• Wellstar Cobb Surgical Associates, LLC
• Wellstar Community Hospice, LLC (WellStar Community Hospice)
• Wellstar Health System
• Wellstar Health Systems
• Wellstar Internal Medicine of Cobb, LLC

• Physical Medicine & Rehabilitation Physician in Austell, GA
• Providers in Austell, GA by specialty
• Physical Medicine & Rehabilitation 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.