WELLSTAR INFECTIOUS DISEASE (DOUGLAS) – NPI #1194078170
Internal Medicine

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Health Care Provider Taxonomy Code for Internal Medicine

WELLSTAR INFECTIOUS DISEASE (DOUGLAS) is a provider located in DOUGLASVILLE, GA. NPPES has assigned the NPI number 1194078170 to WELLSTAR INFECTIOUS DISEASE (DOUGLAS) on October 16, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WELLSTAR INFECTIOUS DISEASE (DOUGLAS)” 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 207RI0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Infectious Disease

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 INFECTIOUS DISEASE (DOUGLAS) below.

NPI Profile for
WELLSTAR MEDICAL GROUP, LLC

NPI Number
1194078170
Enumeration Date

(more than 13 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 INFECTIOUS DISEASE (DOUGLAS)
Primary location
6043 PRESTLEY MILL RD
SUITE C
DOUGLASVILLE, GA 30134-2280
Phone: (770) 920-3076 Fax: (770) 949-8969
Mailing address
Same as primary location
Organization Subpart
Yes - WELLSTAR INFECTIOUS DISEASE (DOUGLAS) 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
207RI0200X
- Internal Medicine / Infectious Disease (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.