Active NPI
Wellstar South Cobb Rheumatology, LLC
- Rheumatology Physician
- Austell, GA
National Provider Identifier
1780884585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- WELLSTAR SOUTH COBB RHEUMATOLOGY, LLC
- Practice address
- 1680 Hospital Drive
Austell, GA 30106 - Phone
- (678) 945-2100
- NPI assigned
- Jul 19, 2007
- Last updated
- Jul 14, 2008
- 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
- Exexcutive Director of Finance
- Phone
- (770) 792-5261
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | NU | Primary |
Addresses
Primary practice location
1680 Hospital Drive
Austell, GA 30106
Mailing address
1600 Hospital Drive
Austell, GA 30106
Phone (678) 945-2100
National Provider Directory
National Provider Directory- Part of
- Wellstar Behavioral Hea
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Rheumatology Physician
- Bemidji, MN
- NPI 1821209255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215993600000",
"number": "1780884585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 HOSPITAL DRIVE",
"city": "AUSTELL",
"state": "GA",
"postal_code": "30106",
"telephone_number": "678-945-2100"
},
{
"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": "678-945-2100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSTAR SOUTH COBB RHEUMATOLOGY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WELLSTAR HEALTH SYSTEM, INC.",
"enumeration_date": "2007-07-19",
"last_updated": "2008-07-14",
"status": "A",
"authorized_official_last_name": "ASHE",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "EXEXCUTIVE DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "770-792-5261"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austell, GA
- Wellstar Palliative Medicine, LLC
- Wellstar Pediatric & Adolescent Center, LLC
- Wellstar Pediatric & Family Wellness Center, LLC
- Wellstar Physicians Group Pathologists, LLC
- Wellstar South Cobb Primary Care, LLC
- Wellstaris Medical Equipment & Supply Corp
- Wellstaris Medical Equipment & Supply Corp
- Wellstreet of Georgia PC (Piedmont Urgent Care by Wellstreet)
- Wellstreet of Georgia PC (Piedmont Urgentcare by Wellstreet)
- Michael Jerome Wenclawiak, PT
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.