WELLSTAR KENNESAW MEDICAL CENTER – NPI #1376849919
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

WELLSTAR KENNESAW MEDICAL CENTER is a provider located in KENNESAW, GA. NPPES has assigned the NPI number 1376849919 to WELLSTAR KENNESAW MEDICAL CENTER on January 30, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WELLSTAR KENNESAW MEDICAL CENTER” is a dba name, the actual legal business name for this organization is WELLSTAR MEDICAL GROUP, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 13 years ago on Nov 18, 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 KENNESAW MEDICAL CENTER below.

NPI Profile for
WELLSTAR MEDICAL GROUP, LLC

NPI Number
1376849919
Enumeration Date

(more than 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 KENNESAW MEDICAL CENTER
Primary location
3805 CHEROKEE ST NW
KENNESAW, GA 30144-2085
Phone: (770) 426-5666 Fax: (770) 426-9212
Mailing address
Same as primary location
Organization Subpart
Yes - WELLSTAR KENNESAW MEDICAL CENTER 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
207Q00000X
- Family Medicine (Primary)		 GA
207R00000X
- Internal Medicine		 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.