WELLSTAR URGENT CARE AT COOPER LAKE – NPI #1669767364
Clinic/Center

WELLSTAR URGENT CARE AT COOPER LAKE is an AHC clinic located in SMYRNA, GA. NPPES has assigned the NPI number 1669767364 to WELLSTAR URGENT CARE AT COOPER LAKE on June 10, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WELLSTAR URGENT CARE AT COOPER LAKE” 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

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 AT COOPER LAKE below.

NPI Profile for
WELLSTAR MEDICAL GROUP, LLC

NPI Number
1669767364
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 AT COOPER LAKE
Primary location
4480 N COOPER LAKE RD SE
SUITE 100
SMYRNA, GA 30082-4622
Phone: (770) 333-1300 Fax: (770) 432-8312
Mailing address
Same as primary location
Organization Subpart
Yes - WELLSTAR URGENT CARE AT COOPER LAKE is subpart of another organization.
Authorized Official
NICOLE ASHE
EXECUTIVE DIRECTOR OF FINANCE
Phone: (770) 792-5261
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.