WELLSTAR SOUTH COBB OB/GYN, LLC
NPI 1457308256
Obstetrics & Gynecology in Austell, GA
NPI Status: Active since May 27, 2006
Contact Information
1700 HOSPITAL SOUTH DR
SUITE 500
AUSTELL, GA
ZIP 30106
Phone: (770) 941-7717
Fax: (770) 948-9729
- Organization
- Obstetrics & Gynecology
- CLIA Number: 11D0254181
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About WELLSTAR SOUTH COBB OB/GYN, LLC
This page provides the complete NPI Profile along with additional information for Wellstar South Cobb Ob/gyn, Llc, a women's health care provider established in Austell, Georgia operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1457308256 assigned on May 2006. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 17 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 South Cobb Ob/gyn, Llc. The authorized official of this NPI record is Nicole Ashe (Executive Director Of Finance)
- NPI
- 1457308256
- Provider Legal Name
- SOUTH COBB OB/GYN, P. C.
- Other Organization Name
- WELLSTAR SOUTH COBB OB/GYN, LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1700 HOSPITAL SOUTH DR SUITE 500 AUSTELL, GA 30106
- Location Phone
- (770) 941-7717
- Location Fax
- (770) 948-9729
- Mailing Address
- 1700 HOSPITAL SOUTH DR SUITE 500 AUSTELL, GA 30106
- Mailing Phone
- (770) 941-7717
- Mailing Fax
- (770) 948-9729
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-27-2006
- Last Update Date
- 07-14-2008
- Code Navigator
Women's health care providers like Wellstar South Cobb Ob/gyn, Llc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D0254181
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- SUPRIYA RAO
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Wellstar South Cobb Ob/gyn, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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. | |||||||||
| 1 | 4 | 5 | 7 | 3 | 0 | 8 | 2 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 6 | 0 | 16 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 6 + 0 + 1 + 6 + 2 + 1 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1457308256 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477543320 | MS. LYNN D KUNKEL CNP Individual | Obstetrics & Gynecology | 1700 HOSPITAL SOUTH DR SUITE 500 AUSTELL, GA 30106 (770) 941-7717 |
| 1003806951 | MS. COLETTE M TETREAULT CNM Individual | Advanced Practice Midwife | 1700 HOSPITAL SOUTH DR SUITE 500 AUSTELL, GA 30106 (770) 941-7717 |
| 1548250491 | MS. GINA CASTRO CNP Individual | Obstetrics & Gynecology | 1700 HOSPITAL SOUTH DR SUITE 500 AUSTELL, GA 30106 (770) 941-7717 |
| 1184614034 | MS. LOIS J HERSEY CNM Individual | Advanced Practice Midwife | 1700 HOSPITAL SOUTH DR SUITE 500 AUSTELL, GA 30106 (770) 941-7717 |
| 1952391807 | DR. ELLEN COGGESHALL MD Individual | Obstetrics & Gynecology | 1700 HOSPITAL SOUTH DR SUITE 500 AUSTELL, GA 30106 (770) 941-7717 |
| 1942290895 | MR. MICHAEL M MCCANN CNM Individual | Advanced Practice Midwife | 1700 HOSPITAL SOUTH DR SUITE 500 AUSTELL, GA 30106 (770) 941-7717 |
| 1396735247 | MS. VICKY L HUNTER CNM Individual | Advanced Practice Midwife | 1700 HOSPITAL SOUTH DR SUITE 500 AUSTELL, GA 30106 (770) 941-7717 |
| 1932199882 | MS. PAMELA BENVENUE CNM Individual | Advanced Practice Midwife | 1700 HOSPITAL SOUTH DR SUITE 500 AUSTELL, GA 30106 (770) 941-7717 |
| 1629068572 | MS. DEBORAH ABERNATHY CNM Individual | Advanced Practice Midwife | 1700 HOSPITAL SOUTH DR SUITE 500 AUSTELL, GA 30106 (770) 941-7717 |
| 1730179508 | MS. BETSY BROWN CNM Individual | Advanced Practice Midwife | 1700 HOSPITAL SOUTH DR SUITE 500 AUSTELL, GA 30106 (770) 941-7717 |
| 1689664856 | DR. KAREN S WELDON MD Individual | Obstetrics & Gynecology | 1700 HOSPITAL SOUTH DR SUITE 500 AUSTELL, GA 30106 (770) 941-7717 |
| 1063491991 | MR. MICHAEL DAMIEN RODRIGUEZ MSW Individual | Social Worker (Clinical) | 1700 HOSPITAL SOUTH DR SUITE 102 AUSTELL, GA 30106 (770) 948-3233 |
| 1831162122 | KYRIAKOS M. MICHAELIDES MD Individual | Internal Medicine (Gastroenterology) | 1700 HOSPITAL SOUTH DR SUITE 502 AUSTELL, GA 30106 (770) 739-9555 |
| 1386617587 | MICHAEL S PERKEL MD Individual | Internal Medicine (Gastroenterology) | 1700 HOSPITAL SOUTH DR SUITE 502 AUSTELL, GA 30106 (770) 739-9555 |
| 1538132733 | HARISCHANDRA PIYASENA M.D. Individual | Internal Medicine (Gastroenterology) | 1700 HOSPITAL SOUTH DR SUITE 502 AUSTELL, GA 30106 (770) 739-9555 |
| 1003860701 | THE HEART CLINIC, P.C. Organization | Internal Medicine (Cardiovascular Disease) | 1700 HOSPITAL SOUTH DR SUITE 302 AUSTELL, GA 30106 (770) 739-0999 |
| 1861425258 | STACEY A CRESSY NP Individual | Registered Nurse | 1700 HOSPITAL SOUTH DR SUITE 500 AUSTELL, GA 30106 (770) 941-7717 |
| 1871513507 | MRS. SARAH REBECCA CAYLOR PA-C Individual | Physician Assistant | 1700 HOSPITAL SOUTH DR SUITE 300 AUSTELL, GA 30106 (770) 944-2830 |
| 1376642777 | DR. PHILLIP L POTTER M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 1700 HOSPITAL SOUTH DR SUITE 504 AUSTELL, GA 30106 (770) 819-9211 |
| 1255429734 | MRS. EILEEN J. THROWER CNM Individual | Advanced Practice Midwife | 1700 HOSPITAL SOUTH DR SUITE 500 AUSTELL, GA 30106 (770) 941-7717 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457308256, enumerated in the NPI registry as an "organization" on May 27, 2006
The provider is located at 1700 Hospital South Dr Suite 500 Austell, Ga 30106 and the phone number is (770) 941-7717
This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207V00000X
The provider's CLIA number is 11D0254181 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on May 27, 2006. 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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