Individual provider Active NPI

Crystal Lavette Welch, MD

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1891016846
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
72480 Issued in GA
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

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141022000932 GA Practitioner - Obstetrics/Gynecology 9133340839 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72480GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC Obstetrics & Gynecology CurrentSince Aug 25, 2014 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Aug 25, 2014 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

  • Direct secure messaging: cwelch91383@directwellstar.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.