WELLSTAR URGENT CARE – NPI #1558659854
Clinic/Center

WELLSTAR URGENT CARE is an AHC clinic located in MARIETTA, GA. NPPES has assigned the NPI number 1558659854 to WELLSTAR URGENT CARE on July 20, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WELLSTAR URGENT CARE” 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 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 13 years ago on Nov 19, 2013. 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 URGENT CARE below.

NPI Profile for
WELLSTAR MEDICAL GROUP, LLC

NPI Number
1558659854
Enumeration Date

(about 15 years 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
Doing Business As (dba): WELLSTAR URGENT CARE
Primary location
2890 DELK RD SE
MARIETTA, GA 30067-5326
Phone: (770) 955-8620 Fax: (770) 955-0377
Mailing address
793 SAWYER RD
MANAGED CARE DEPARTMENT
MARIETTA, GA 30062-2222
Phone: (470) 644-0173 Fax: (770) 509-4212
Organization Subpart
Yes - WELLSTAR URGENT CARE is subpart of another organization.
Authorized Official
NICOLE ASHE
EXECUTIVE DIRECTOR OF FINANCE
Phone: (470) 644-0095
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
261QU0200X
- Clinic/Center / Urgent Care (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.