Wellstar Health System

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

F1015620 Issued in GA

Legal business name

WELLSTAR HEALTH SYSTEM

Practice address

3950 Austell Rd
Austell, GA 30106-1121

Phone

(470) 732-5000

NPI assigned

Nov 20, 2015

Last updated

Oct 31, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anthony J Budzinski, NP

Title

Evp

Phone

(470) 956-4981

Specialties & licenses 1

Addresses

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Wellstar Behavioral Hea5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Wellstar Health System

  • Community Based Hospice Care Agency
  • Marietta, GA
  • NPI 1568713550
  NPD tax ID
• Wellstar Health System, Inc

  dba WellStar Homecare Services - Private Homecare

  • Nursing Care Agency
  • Marietta, GA
  • NPI 1821076001
  NPD tax ID
• Wellstar Health System, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1134501422
  NPD tax ID
• Wellstar Health Systems

  • Medical Specialty Clinic/Center
  • Austell, GA
  • NPI 1013330364
  NPD tax ID

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1740654284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PARKWAY PL SE STE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678237",
            "telephone_number": "470-956-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061121",
            "telephone_number": "470-732-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTAR HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "BUDZINSKI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "470-956-4981",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "F1015620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wellstar Cobb Hospitalists, LLC
• Wellstar Cobb Medical Group, LLC
• Wellstar Cobb Rehabilitation Medicine, LLC
• Wellstar Cobb Surgical Associates, LLC
• Wellstar Community Hospice, LLC (WellStar Community Hospice)
• Wellstar Health Systems
• Wellstar Internal Medicine of Cobb, LLC
• Wellstar Medical Group, LLC (WellStar Cobb Gynecologists)
• Wellstar Medical Group, LLC (WellStar Pediatric & Adolescent Center)
• Wellstar Medical Group, LLC (WellStar Internal Medicine GAIM)

• Clinical Medical Laboratory in Austell, GA
• Providers in Austell, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.