WELLSTAR KENNESAW MEDICAL CENTER, LLC – NPI #1912953621
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

WELLSTAR KENNESAW MEDICAL CENTER, LLC is a provider located in KENNESAW, GA. NPPES has assigned the NPI number 1912953621 to WELLSTAR KENNESAW MEDICAL CENTER, LLC on May 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 18 years ago on Jul 14, 2008. 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, LLC below.

NPI Profile for
WELLSTAR KENNESAW MEDICAL CENTER, LLC

NPI Number
1912953621
Enumeration Date

(more than 20 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 KENNESAW MEDICAL CENTER, LLC
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, LLC 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
207R00000X
- Internal Medicine (Primary)
207Q00000X
- Family Medicine

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.