WELLSTAR NORTH COBB PEDIATRICS – NPI #1932405073
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

WELLSTAR NORTH COBB PEDIATRICS is a provider located in KENNESAW, GA. NPPES has assigned the NPI number 1932405073 to WELLSTAR NORTH COBB PEDIATRICS on February 08, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WELLSTAR NORTH COBB PEDIATRICS” 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 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

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 NORTH COBB PEDIATRICS below.

NPI Profile for
WELLSTAR MEDICAL GROUP, LLC

NPI Number
1932405073
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 NORTH COBB PEDIATRICS
Primary location
205 HAWKINS STORE RD NW
SUITE B-1
KENNESAW, GA 30144-6215
Phone: (770) 928-0862 Fax: (770) 928-2286
Mailing address
Same as primary location
Organization Subpart
Yes - WELLSTAR NORTH COBB PEDIATRICS 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
208000000X
- Pediatrics (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.