WELLSTAR KENNESAW STATE UNIVERSITY STUDENT HEALTH SERVICES – NPI #1790100170
Clinic/Center
WELLSTAR KENNESAW STATE UNIVERSITY STUDENT HEALTH SERVICES is an AHC clinic located in KENNESAW, GA. NPPES has assigned the NPI number 1790100170 to WELLSTAR KENNESAW STATE UNIVERSITY STUDENT HEALTH SERVICES on February 21, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WELLSTAR KENNESAW STATE UNIVERSITY STUDENT HEALTH SERVICES” is a dba name, the actual legal business name for this organization is WELLSTAR MEDICAL GROUP, LLC. 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
The NPI profile was previously updated about 11 years ago on May 27, 2015. 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 KENNESAW STATE UNIVERSITY STUDENT HEALTH SERVICES below.
NPI Profile for
WELLSTAR MEDICAL GROUP, LLC
(more than 12 years ago)
KENNESAW, GA 30144-3227 Phone: (470) 578-6531 Fax: (470) 578-9004
EXECUTIVE DIRECTOR OF FINANCE
Phone: (470) 644-0095
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) |
GA |
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.