WELLSTAR INTERNAL MEDICINE (MEDICAL PARK)
NPI 1255744595
Internal Medicine in Austell, GA

NPI Status: Active since June 04, 2014

Contact Information

3825 MEDICAL PARK DR
SUITE 100
AUSTELL, GA
ZIP 30106
Phone: (770) 948-8680
Fax: (770) 944-1337

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  • Organization
  • Internal Medicine

About WELLSTAR INTERNAL MEDICINE (MEDICAL PARK)

This page provides the complete NPI Profile along with additional information for Wellstar Internal Medicine (medical Park), an internist established in Austell, Georgia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1255744595 assigned on June 2014. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Wellstar Internal Medicine (medical Park). The authorized official of this NPI record is Mrs. Nicole Ashe (Executive Director Of Finance)

NPI
1255744595
Provider Legal Name
WELLSTAR MEDICAL GROUP, LLC
Other Organization Name
WELLSTAR INTERNAL MEDICINE (MEDICAL PARK)
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3825 MEDICAL PARK DR SUITE 100 AUSTELL, GA 30106
Location Phone
(770) 948-8680
Location Fax
(770) 944-1337
Mailing Address
3825 MEDICAL PARK DR SUITE 100 AUSTELL, GA 30106
Mailing Phone
(770) 948-8680
Mailing Fax
(770) 944-1337
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-04-2014
Last Update Date
06-04-2014
Code Navigator

An internist like Wellstar Internal Medicine (medical Park) is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License State
GA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. NICOLE ASHE

Authorized Official Title
EXECUTIVE DIRECTOR OF FINANCE
Authorized Official Phone
(470) 644-0095

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255744595
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221051448518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 4 + 4 + 8 + 5 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1255744595 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518950617DR. JASMINE GRACE JEFFERS M.D.
Individual
Internal Medicine (Gastroenterology)3825 MEDICAL PARK DR SUITE 300
AUSTELL, GA 30106
(770) 941-4810
1134170996DR. NIRANJAN J DAVE MD
Individual
Internal Medicine (Cardiovascular Disease)3825 MEDICAL PARK DR SUITE100
AUSTELL, GA 30106
(770) 944-2245
1366586422JASMINE JEFFERS, MD, LLC
Organization
Internal Medicine (Gastroenterology)3825 MEDICAL PARK DR SUITE 300
AUSTELL, GA 30106
(770) 941-4810
1639436439AMITA N DAVE, MD PC
Organization
Internal Medicine3825 MEDICAL PARK DR SUITE 100
AUSTELL, GA 30106
(770) 948-8680
1083917587WELLSTAR MEDICAL GROUP, LLC
Organization
Internal Medicine3825 MEDICAL PARK DR SUITE 201
AUSTELL, GA 30106
(770) 941-8100
1336406131NIRANJAN J DAVE MD PC
Organization
Internal Medicine (Cardiovascular Disease)3825 MEDICAL PARK DR SUITE 100
AUSTELL, GA 30106
(770) 944-2245
1730158254 JAMES W CLABBY M.D.
Individual
Internal Medicine3825 MEDICAL PARK DR SUITE 201
AUSTELL, GA 30106
(770) 941-8100
1497149231EHI PHARMACY SOLUTIONS, LLC.
Organization
Non-Pharmacy Dispensing Site3825 MEDICAL PARK DR STE. 200
AUSTELL, GA 30106
(770) 745-5101
1609859735MRS. AMITA N DAVE MD
Individual
Internal Medicine3825 MEDICAL PARK DR SUITE 201
AUSTELL, GA 30106
(770) 941-8100
1225126485 PHILICIA L ANDREWS MD
Individual
Internal Medicine3825 MEDICAL PARK DR SUITE 301
AUSTELL, GA 30106
(770) 739-9971
1336327220 DRUENELL ELIA LINTON MD
Individual
Internal Medicine (Cardiovascular Disease)3825 MEDICAL PARK DR SUITE 301
AUSTELL, GA 30106
(770) 941-7741
1457766339WELLSTAR MEDICAL GROUP, LLC
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)3825 MEDICAL PARK DR SUITE 100
AUSTELL, GA 30106
(770) 941-8100
1780030734MRS. GRACE CLARK AGPCNP-B
Individual
Nurse Practitioner (Adult Health)3825 MEDICAL PARK DR SUITE 100
AUSTELL, GA 30106
(770) 948-5578
1417116450DR. SAIRA ADEEL M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)3825 MEDICAL PARK DR SUITE 201
AUSTELL, GA 30106
(770) 941-8100
1780132829 VIVIANNE MUTHONI NGUKU
Individual
Nurse Practitioner (Family)3825 MEDICAL PARK DR
AUSTELL, GA 30106
(770) 948-5578
1487647483WESTSIDE ENDOSCOPY CENTER PC
Organization
Clinic/Center (Endoscopy)3825 MEDICAL PARK DR SUITE 300
AUSTELL, GA 30106
(678) 945-9600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255744595, enumerated in the NPI registry as an "organization" on June 04, 2014

The provider is located at 3825 Medical Park Dr Suite 100 Austell, Ga 30106 and the phone number is (770) 948-8680

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

This NPI record was last updated on June 04, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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