WELLSTAR MEDICAL GROUP, LLC – NPI #1497616742
Clinic/Center

WELLSTAR MEDICAL GROUP, LLC is an AHC clinic located in MARIETTA, GA. NPPES has assigned the NPI number 1497616742 to WELLSTAR MEDICAL GROUP, LLC on November 18, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS1000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Student Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WELLSTAR MEDICAL GROUP, LLC below.

NPI Profile for
WELLSTAR MEDICAL GROUP, LLC

NPI Number
1497616742
Enumeration Date

(about 7 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WELLSTAR MEDICAL GROUP, LLC
Primary location
1000 TECHNOLOGY WAY SUITE 1107
MARIETTA, GA 30060
Phone: (470) 578-6644 Fax: (470) 578-9205
Mailing address
793 SAWYER ROAD
MARIETTA, GA 30062
Phone: Fax:
Organization Subpart
No
Authorized Official
CHHAVI NOOHANI
MEDICAL DIRECTOR
Phone: (470) 578-6644
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS1000X
- Clinic/Center / Student Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.