WELLSTAR SOUTH COBB PRIMARY CARE
NPI 1508162173
Internal Medicine in Austell, GA

NPI Status: Active since January 31, 2011

Contact Information

1680 HOSPITAL SOUTH DR
AUSTELL, GA
ZIP 30106
Phone: (678) 945-2100
Fax: (770) 941-3870

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  • Organization
  • Internal Medicine

About WELLSTAR SOUTH COBB PRIMARY CARE

This page provides the complete NPI Profile along with additional information for Wellstar South Cobb Primary Care, an internist established in Austell, Georgia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1508162173 assigned on January 2011. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 12 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 Primary Care. The authorized official of this NPI record is Mrs. Nicole Ashe (Executive Director Of Finance)

NPI
1508162173
Provider Legal Name
WELLSTAR MEDICAL GROUP, LLC
Other Organization Name
WELLSTAR SOUTH COBB PRIMARY CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1680 HOSPITAL SOUTH DR AUSTELL, GA 30106
Location Phone
(678) 945-2100
Location Fax
(770) 941-3870
Mailing Address
1680 HOSPITAL SOUTH DR AUSTELL, GA 30106
Mailing Phone
(678) 945-2100
Mailing Fax
(770) 941-3870
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-31-2011
Last Update Date
11-19-2013
Code Navigator

An internist like Wellstar South Cobb Primary Care 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.
1508162173
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508264114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 2 + 6 + 4 + 1 + 1 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1508162173 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326037821DR. ELLIS L MALONE MD
Individual
Internal Medicine1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
(678) 945-2100
1588653091MS. SUSAN BOLAND CNP
Individual
Nurse Practitioner1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
(678) 945-2100
1992795488DR. CLIFFORD PICKETT MD
Individual
Internal Medicine1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
(770) 732-3880
1336195445WELLSTAR OCCUPATIONAL HEALTH, LLC
Organization
Internal Medicine1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
(770) 732-3880
1881631968WELLSTAR SOUTH COBB PRIMARY CARE, LLC
Organization
Internal Medicine1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
(678) 945-2100
1851684864WELLSTAR MEDICAL GROUP, LLC
Organization
Psychiatry & Neurology (Child & Adolescent Psychiatry)1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
(770) 634-2349
1134390784DR. LAUREN GIGI BREWINGTON M.D., M.S.
Individual
Internal Medicine (Infectious Disease)1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
(678) 945-2100
1144481573DR. FRANK T ITALIANO MD
Individual
Internal Medicine (Pulmonary Disease)1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
(770) 422-1372
1013330364WELLSTAR HEALTH SYSTEMS
Organization
Clinic/Center (Medical Specialty)1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
(470) 956-8364
1588924765 AARON THOMAS MD
Individual
Internal Medicine1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
(678) 945-2100
1073255352 AILAH MARIE VAZQUEZ RN, MSN, FNP-C
Individual
Nurse Practitioner (Family)1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
(678) 945-2100
1134749807 ALEXANDRA KRAWCZUK-SMITH MD
Individual
Family Medicine1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
(678) 945-2100
1083477947 HARPER LEE CRAWFORD NP-C
Individual
Nurse Practitioner (Family)1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
(678) 945-2100
1346702982 JOYCE R ROSS NP
Individual
Nurse Practitioner (Family)1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
(678) 945-2100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508162173, enumerated in the NPI registry as an "organization" on January 31, 2011

The provider is located at 1680 Hospital South Dr Austell, Ga 30106 and the phone number is (678) 945-2100

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

This NPI record was last updated on January 31, 2011. 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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