Active NPI
Crystal Lavette Welch, MD
- Obstetrics & Gynecology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 72480
- Practice address
- 1800 Peachtree St NW Ste 500
Atlanta, GA 30309-2509 - Phone
- (770) 702-0101
- Fax
- (770) 702-0570
- NPI assigned
- Jun 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 72480 | GA | Primary |
Addresses
Primary practice location
1800 Peachtree St NW Ste 500
Atlanta, GA 30309-2509
Mailing address
1800 Peachtree St NW Ste 500
Atlanta, GA 30309-2509
Phone (770) 702-0101
Other names 1
- Crystal Welch Goodman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72480 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients |
Locations
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
2550 Windy Hill Rd SE
Ste 115
Marietta, GA 30067
Phone (678) 580-2684
833 Campbell Hill St NW
Ste 400
Marietta, GA 30060
Phone (770) 528-0260
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
Interoperability endpoints
- cwelch91383@directwellstar.org
- crystal.welch.1@20916.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Obstetrics & Gynecology Physician
- Marietta, GA
- NPI 1184920233
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1891016846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 PEACHTREE ST NW STE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303092509",
"telephone_number": "770-702-0101",
"fax_number": "770-702-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 PEACHTREE ST NW STE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303092509",
"telephone_number": "770-702-0101",
"fax_number": "770-702-0570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "CRYSTAL",
"middle_name": "LAVETTE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-14",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "72480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "GOODMAN",
"middle_name": "WELCH",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.