WELLSTAR PEDIATRICS AT BROOKSTONE, LLC
NPI 1669429734
Pediatrics in Kennesaw, GA

NPI Status: Active since May 27, 2006

Contact Information

5150 STILESBORO RD NW
SUITE 220
KENNESAW, GA
ZIP 30152
Phone: (770) 424-8222
Fax: (770) 424-9962

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  • Organization
  • Pediatrics

About WELLSTAR PEDIATRICS AT BROOKSTONE, LLC

This page provides the complete NPI Profile along with additional information for Wellstar Pediatrics At Brookstone, Llc, a pediatrician established in Kennesaw, Georgia operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1669429734 assigned on May 2006. The practitioner's primary taxonomy code is 208000000X. 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 authorized official of this NPI record is Nicole Ashe (Executive Director Of Finance)

NPI
1669429734
Provider Name
WELLSTAR PEDIATRICS AT BROOKSTONE, LLC
Entity Type
Organization
Location Address
5150 STILESBORO RD NW SUITE 220 KENNESAW, GA 30152
Location Phone
(770) 424-8222
Location Fax
(770) 424-9962
Mailing Address
5150 STILESBORO RD NW SUITE 220 KENNESAW, GA 30152
Mailing Phone
(770) 424-8222
Mailing Fax
(770) 424-9962
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-27-2006
Last Update Date
07-14-2008
Code Navigator

A pediatrician like Wellstar Pediatrics At Brookstone, Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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

NICOLE ASHE

Authorized Official Title
EXECUTIVE DIRECTOR OF FINANCE
Authorized Official Phone
(770) 792-5261

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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.
1669429734
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26129821876
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 8 + 2 + 1 + 8 + 7 + 6 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1669429734 is valid because the calculated check digit 4 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
1134209653MR. MARK G STEVENS PT
Individual
Physical Therapist5150 STILESBORO RD NW
KENNESAW, GA 30152
(678) 354-6171
1285786541ACWORTH FAMILY MEDICINE, PC
Organization
Clinic/Center (Primary Care)5150 STILESBORO RD NW SUITE 120
KENNESAW, GA 30152
(678) 354-0230
1558480616DR. FRANK PAUL GIOVANNOTTO D.C.
Individual
Chiropractor5150 STILESBORO RD NW BLDG.100 SUITE110
KENNESAW, GA 30152
(770) 427-3337
1629270483 TAMERA FIRNBACH D.C.
Individual
Chiropractor (Nutrition)5150 STILESBORO RD NW SUITE 420
KENNESAW, GA 30152
(770) 425-6068
1073786984BALANCED BODY WELLNESS CENTRE, LLC
Organization
Preferred Provider Organization5150 STILESBORO RD NW SUITE 420
KENNESAW, GA 30152
(770) 425-6068
1548400484MRS. DORIS EUBANKS OSBORNE OTR/L
Individual
Occupational Therapist5150 STILESBORO RD NW SUITE 410
KENNESAW, GA 30152
(770) 218-2300
1518109966MRS. LESLIE BETH WILLIAMS
Individual
Speech-Language Pathologist5150 STILESBORO RD NW SUITE 410
KENNESAW, GA 30152
(770) 218-2300
1023326758 PATRICIA PHILLIPS SLP
Individual
Speech-Language Pathologist5150 STILESBORO RD NW SUITE 430
KENNESAW, GA 30152
(770) 218-2300
1932480662 TRACY A FERGUSON SLP
Individual
Speech-Language Pathologist5150 STILESBORO RD NW SUITE 430
KENNESAW, GA 30152
(770) 218-2300
1871862383 TAMMY DAVIS COTA
Individual
Occupational Therapy Assistant5150 STILESBORO RD NW
KENNESAW, GA 30152
(770) 218-2300
1427320886DR. MANDY PHILLIPS RUDDELL
Individual
Counselor (Professional)5150 STILESBORO RD NW SUITE 100
KENNESAW, GA 30152
(404) 680-3032
1821360090MRS. LINDA CRENSHAW CHARRETTE LPC
Individual
Counselor (Professional)5150 STILESBORO RD NW SUITE 100
KENNESAW, GA 30152
(404) 368-4722
1427322346 ANNE PITTS
Individual
Occupational Therapist5150 STILESBORO RD NW SUITE 430
KENNESAW, GA 30152
(770) 218-2300
1821356080 PATTY HOLLIDAY OTR/L
Individual
Occupational Therapist (Pediatrics)5150 STILESBORO RD NW SUITE 430
KENNESAW, GA 30152
(770) 218-2300
1477815884 ANDREA DAVIS
Individual
Speech-Language Pathologist5150 STILESBORO RD NW SUITE 430
KENNESAW, GA 30152
(770) 218-2300
1841541380 NANCY KNIGHT
Individual
Occupational Therapist5150 STILESBORO RD NW SUITE 430
KENNESAW, GA 30152
(770) 218-2300
1528311016MRS. TERESA MICHELLE SIRMANS LPC
Individual
Counselor (Professional)5150 STILESBORO RD NW SUITE 100
KENNESAW, GA 30152
(678) 485-5559
1992044234 SUSAN LON
Individual
Speech-Language Pathologist5150 STILESBORO RD NW SUITE 430
KENNESAW, GA 30152
(770) 218-2300
1619311297 JENNIFER KING
Individual
Speech-Language Pathologist5150 STILESBORO RD NW SUITE 430
KENNESAW, GA 30152
(770) 218-2300
1104250661 ELIZABETH POULSEN
Individual
Occupational Therapist5150 STILESBORO RD NW SUITE 430
KENNESAW, GA 30152
(770) 218-2300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669429734, enumerated in the NPI registry as an "organization" on May 27, 2006

The provider is located at 5150 Stilesboro Rd Nw Suite 220 Kennesaw, Ga 30152 and the phone number is (770) 424-8222

This medical organization specializes in Pediatrics with taxonomy code 208000000X

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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.