WELLSTAR MEDICAL GROUP, LLC; NPI #1497616742

Contact Information

WELLSTAR MEDICAL GROUP, LLC

1000 TECHNOLOGY WAY SUITE 1107
MARIETTA, GA 30060

Phone: 470-578-6644
Fax: 470-578-9205
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Student Health	261QS1000X

Indicates primary specialty

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NPI Profile & details for WELLSTAR MEDICAL GROUP, LLC

NPI #	`1497616742`
LBN Legal business name	WELLSTAR MEDICAL GROUP, LLC
Authorized official	CHHAVI NOOHANI - (MEDICAL DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/18/2025
Last updated	11/18/2025 - About 7 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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WELLSTAR MEDICAL GROUP, LLC

Contact Information

Specialty

Student Health

NPI Profile & details for WELLSTAR MEDICAL GROUP, LLC

Reviews for WELLSTAR MEDICAL GROUP, LLC