Wellstar Urgent Care at Towne Lake, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

WELLSTAR URGENT CARE AT TOWNE LAKE, LLC

Practice address

120 Stonebridge Pkwy
Woodstock, GA 30189-3767

Phone

(678) 494-2500

Fax

(678) 494-2629

NPI assigned

May 28, 2006

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

NW Ga Nealth Systems in

Locations

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1740237387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 STONEBRIDGE PKWY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301893767",
            "telephone_number": "678-494-2500",
            "fax_number": "678-494-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STONEBRIDGE PKWY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301893767",
            "telephone_number": "678-494-2500",
            "fax_number": "678-494-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTAR URGENT CARE AT TOWNE LAKE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLSTAR HEALTH SYSTEM, INC.",
        "enumeration_date": "2006-05-28",
        "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": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellstar Medical Group, LLC
• Wellstar Medical Group, LLC
• Wellstar Medical Group, LLC
• Wellstar Towne Lake Medical Center, LLC
• Wellstar Towne Lake Pediatrics, LLC
• Wellstreet of Georgia PC
• Wellstreet of Georgia PC
• Cathy Wendland, DC
• Kelly O'Harra Weselman, MD
• Gabrielle Ruth Wesemeyer, D.C.

• Emergency Medicine Physician in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Emergency 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.