Active NPI
Wellstar Acworth Family Practice, LLC
- Family Medicine Physician
- Acworth, GA
National Provider Identifier
1740489103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WELLSTAR ACWORTH FAMILY PRACTICE, LLC
- Practice address
- 3950 Cobb Pkwy NW
Suite 801
Acworth, GA 30101-9532 - Phone
- (770) 074-4665
- NPI assigned
- Jul 16, 2007
- Organization subpart
- Yes
- Parent organization
- WELLSTAR HEALTH SYSTEM, INC.
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3950 Cobb Pkwy NW
Suite 801
Acworth, GA 30101-9532
Mailing address
3950 Cobb Pkwy NW
Suite 801
Acworth, GA 30101-9532
Phone (770) 074-4665
National Provider Directory
National Provider Directory- Part of
- NW Ga Nealth Systems in
Locations
4900 Ivey Rd NW
Acworth, GA 30101
Phone (770) 917-0924
3950 Cobb Pkwy NW
Ste 801
Acworth, GA 30101
Phone (770) 917-5737
2487 Cedarcrest Rd
Ste 714
Acworth, GA 30101
Phone (678) 224-5730
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215993600000",
"number": "1740489103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 COBB PKWY NW",
"address_2": "SUITE 801",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301019532",
"telephone_number": "770-074-4665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 COBB PKWY NW",
"address_2": "SUITE 801",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301019532",
"telephone_number": "770-074-4665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSTAR ACWORTH FAMILY PRACTICE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WELLSTAR HEALTH SYSTEM, INC.",
"enumeration_date": "2007-07-16",
"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": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Acworth, GA
Sources for this page
- 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.