Active NPI
Alicia Shelly, M.D.
- Obesity Medicine (Internal Medicine) Physician
- Douglasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Internal Medicine) Physician
- License
- 69712
- Practice address
- 8820 Hospital Dr
Douglasville, GA 30134-2266 - Phone
- (770) 947-3000
- Fax
- (770) 947-3080
- NPI assigned
- May 3, 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 296213 | NY | |
| Internal Medicine Physician | 207R00000X | ME137755 | FL | |
| Internal Medicine Physician | 207R00000X | A121267 | CA | |
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X | 69712 | GA | Primary |
| Internal Medicine Physician | 207R00000X | 69712 | GA | |
| General Practice Physician | 208D00000X | 69712 | GA | |
| Internal Medicine Physician | 207R00000X | 0101266249 | VA |
Addresses
Primary practice location
8820 Hospital Dr
Douglasville, GA 30134-2266
Mailing address
8820 Hospital Dr
Douglasville, GA 30134-2266
Phone (770) 947-3000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ashelly359956@directwellstar.org |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
6043 Prestley Mill Rd
Douglasville, GA 30134-2280
6043 Prestley Mill Rd C
Douglasville, GA 30134-2280
Phone (770) 920-3076
8820 Hospital Dr
Douglasville, GA 30134-2266
Phone (770) 947-3000
Hospital & facility affiliations
- Wellstar Douglas Medical Center
- Wellstar Cobb Medical Center
- Wellstar Paulding Medical Center
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME137755 | FL | MD | Internal Medicine Physician |
| 69712 | GA | MD | Internal Medicine Physician |
| 296213 | NY | MD | Internal Medicine Physician |
| 0101266249 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients | |
| Qcpi-Villagemd, PC | Internal Medicine | Past | Accepting new patients |
| Marin Hospitalist Medical Group, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
8820 Hospital Dr
Douglasville, GA 30134
Phone (678) 480-4034
6043 Prestley Mill Rd
Ste B
Douglasville, GA 30134
Phone (770) 941-8100
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
Interoperability endpoints
- ashelly359956@directwellstar.org
Organizations & group practices 5
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
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
-
- Internal Medicine Physician
- Greenbrae, CA
- NPI 1023041753
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1992022719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8820 HOSPITAL DR",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301342266",
"telephone_number": "770-947-3000",
"fax_number": "770-947-3080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8820 HOSPITAL DR",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301342266",
"telephone_number": "770-947-3000",
"fax_number": "770-947-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELLY",
"first_name": "ALICIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-03",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "296213",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME137755",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A121267",
"primary": false
},
{
"code": "207RB0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Obesity Medicine",
"state": "GA",
"license": "69712",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "69712",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "69712",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101266249",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ashelly359956@directwellstar.org",
"affiliation": "N",
"address_1": "235 Medical Blvd Ste B",
"city": "Stockbridge",
"state": "GA",
"country_code": "US",
"postal_code": "302817218",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.
- 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.