Wellstar Pediatrics at Brookstone, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WELLSTAR PEDIATRICS AT BROOKSTONE, LLC

Practice address

5150 Stilesboro Rd NW
Suite 220
Kennesaw, GA 30152-7744

Phone

(770) 424-8222

Fax

(770) 424-9962

NPI assigned

May 27, 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 Health Systems

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1669429734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 STILESBORO RD NW",
            "address_2": "SUITE 220",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527744",
            "telephone_number": "770-424-8222",
            "fax_number": "770-424-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 STILESBORO RD NW",
            "address_2": "SUITE 220",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527744",
            "telephone_number": "770-424-8222",
            "fax_number": "770-424-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTAR PEDIATRICS AT BROOKSTONE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLSTAR HEALTH SYSTEM, INC.",
        "enumeration_date": "2006-05-27",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wellstar Medical Group, LLC (WellStar Pediatric Anesthesia)
• Wellstar North Cobb Pediatrics, LLC
• Wellstar Urgent Care in Kennesaw, LLC
• Wellstreet of Georgia PC
• Aubree Welsh, APRN, WHNP-BC
• West Cobb Orthodontics LLC
• Brian West, CAA

• 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.