Wellstar MLMC Incorporated

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

WELLSTAR MLMC INCORPORATED

Practice address

338 Stage Coach Dr
Clayton, GA 30525-3586

Phone

(706) 782-0400

NPI assigned

Jul 13, 2026

Organization subpart

No

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

Authorized official

Name

John G Kerndl

Title

Evp & Cfo

Phone

(470) 644-0076

Specialties & licenses 1

Addresses

Tax ID family

Wellstar MLMC Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Wellstar MLMC Incorporated

  • Critical Access Hospital
  • Clayton, GA
  • NPI 1568395283
  NPD tax ID
• Wellstar MLMC Incorporated

  • Medicare Defined Swing Bed Hospital Unit
  • Clayton, GA
  • NPI 1891628681
  NPD tax ID

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1992624985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PARKWAY PL SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678200",
            "telephone_number": "470-644-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 STAGE COACH DR",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305253586",
            "telephone_number": "706-782-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTAR MLMC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "KERNDL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EVP & CFO",
        "authorized_official_telephone_number": "470-644-0076"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle McLendon Washam, PHARMD
• Desiree Webb
• Richard Lee Weber Jr., D.M.D.
• Wellstar MLMC Incorporated
• Wellstar MLMC Incorporated
• Laura P West, M.D.
• John Richard Williams I, PA-C
• Paulette Williams, CDE, RD, & LD
• Rebecca Jo Williams, FNP-C
• Anne E Wilzbacher

• Rural Health Clinic/Center in Clayton, GA
• Providers in Clayton, GA by specialty
• Rural Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.