WELLSTAR PEDIATRICS AT JOHNSON SQUARE
NPI 1780924043
Pediatrics in Marietta, GA

NPI Status: Active since February 25, 2013

Contact Information

3939 ROSWELL RD
SUITE 300
MARIETTA, GA
ZIP 30062
Phone: (770) 509-1234
Fax: (770) 509-1235

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  • Organization
  • Pediatrics

About WELLSTAR PEDIATRICS AT JOHNSON SQUARE

This page provides the complete NPI Profile along with additional information for Wellstar Pediatrics At Johnson Square, a pediatrician established in Marietta, Georgia operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1780924043 assigned on February 2013. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 10 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 Pediatrics At Johnson Square. The authorized official of this NPI record is Mrs. Nicole Ashe (Executive Director Of Finance)

NPI
1780924043
Provider Legal Name
WELLSTAR MEDICAL GROUP, LLC
Other Organization Name
WELLSTAR PEDIATRICS AT JOHNSON SQUARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3939 ROSWELL RD SUITE 300 MARIETTA, GA 30062
Location Phone
(770) 509-1234
Location Fax
(770) 509-1235
Mailing Address
3939 ROSWELL RD SUITE 300 MARIETTA, GA 30062
Mailing Phone
(770) 509-1234
Mailing Fax
(770) 509-1235
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-25-2013
Last Update Date
05-26-2015
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A pediatrician like Wellstar Pediatrics At Johnson Square 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.

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License State
GA
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

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.
1780924043
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27160182808
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 1 + 8 + 2 + 8 + 0 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1780924043 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 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740365725 ALICE PFEIFFER NIX P.T.
Individual
Physical Therapist3939 ROSWELL RD SUITE 160
MARIETTA, GA 30062
(770) 971-5244
1992866818MRS. ROBIN LISA KING MSW,LCSW
Individual
Social Worker3939 ROSWELL RD SUITE 185
MARIETTA, GA 30062
(770) 641-9603
1124251590TANYA THERIOT, PSY.D., P.C.
Organization
Psychologist3939 ROSWELL RD SUITE 185
MARIETTA, GA 30062
(770) 310-1792
1275814964WELLSTAR MEDICAL GROUP, LLC
Organization
Family Medicine (Geriatric Medicine)3939 ROSWELL RD SUITE 240
MARIETTA, GA 30062
(678) 403-4660
1700958394DR. SONA P AMIN MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)3939 ROSWELL RD SUITE 110
MARIETTA, GA 30062
(678) 403-4300
1841722212SOUTHEAST INTEGRATIVE MEDICINE
Organization
Naturopath3939 ROSWELL RD SUITE 240
MARIETTA, GA 30062
(678) 671-3100
1689736860MARIETTA EYE CLINIC, PA
Organization
Ophthalmology3939 ROSWELL RD SUITE 100
MARIETTA, GA 30062
(770) 977-8000
1578049656 CHRISTINE GHILAIN PHD
Individual
Clinical Neuropsychologist3939 ROSWELL RD
MARIETTA, GA 30062
(770) 514-6760
1346242229 SUSAN GAIL STAVISS M.D.
Individual
Pediatrics (Adolescent Medicine)3939 ROSWELL RD SUITE 300
MARIETTA, GA 30062
(770) 578-2868
1851468078PARKWAY THERAPY SERVICES, INC. DBA EAST COBB PHYSICAL THERAPY
Organization
Physical Therapist3939 ROSWELL RD SUITE 160
MARIETTA, GA 30062
(770) 971-5244
1952464505MARIETTA EYE OPTICAL INC
Organization
Durable Medical Equipment & Medical Supplies3939 ROSWELL RD SUITE 100
MARIETTA, GA 30062
(770) 977-8000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780924043, enumerated in the NPI registry as an "organization" on February 25, 2013

The provider is located at 3939 Roswell Rd Suite 300 Marietta, Ga 30062 and the phone number is (770) 509-1234

This medical organization specializes in Pediatrics with taxonomy code 208000000X

This NPI record was last updated on February 25, 2013. 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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