WELLSTAR FAMILY MEDICINE (WILLOW CREEK)
NPI 1922405729
Family Medicine in Roswell, GA
NPI Status: Active since November 24, 2014
Contact Information
11685 ALPHARETTA HWY
SUITE 300
ROSWELL, GA
ZIP 30076
Phone: (678) 325-6611
Fax: (678) 325-6616
- Organization
- Family Medicine
- CLIA Number: 11D2118762
- CLIA Cert. Type: Other - HOSPITAL OUT/P DEPT
- CLIA Exp. Date: 08-17-2025
About WELLSTAR FAMILY MEDICINE (WILLOW CREEK)
This page provides the complete NPI Profile along with additional information for Wellstar Family Medicine (willow Creek), a primary care provider established in Roswell, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1922405729 assigned on November 2014. The practitioner's primary taxonomy code is 207Q00000X. 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 Family Medicine (willow Creek). The authorized official of this NPI record is Mrs. Nicole Ashe (Executive Director Of Finance)
- NPI
- 1922405729
- Provider Legal Name
- WELLSTAR MEDICAL GROUP, LLC
- Other Organization Name
- WELLSTAR FAMILY MEDICINE (WILLOW CREEK)
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 11685 ALPHARETTA HWY SUITE 300 ROSWELL, GA 30076
- Location Phone
- (678) 325-6611
- Location Fax
- (678) 325-6616
- Mailing Address
- 11685 ALPHARETTA HWY SUITE 300 ROSWELL, GA 30076
- Mailing Phone
- (678) 325-6611
- Mailing Fax
- (678) 325-6616
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-24-2014
- Last Update Date
- 02-18-2015
- Code Navigator
A primary care provider (PCP) like Wellstar Family Medicine (willow Creek) sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- GA
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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
- 11D2118762
- Facility Type
- Other - HOSPITAL OUT/P DEPT
- Certificate Effective Date
- August 18, 2023
- Certificate Expiration Date
- August 17, 2025
- Laboratory Director
- DR. NAGENDER MANKAN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Wellstar Family Medicine (willow Creek) on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for WELLSTAR FAMILY MEDICINE (WILLOW CREEK)
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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 | 9 | 2 | 2 | 4 | 0 | 5 | 7 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 8 | 0 | 10 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 8 + 0 + 1 + 0 + 7 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1922405729 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1932108719 | RICHARD A KRAKOW M.D. Individual | Specialist | 11685 ALPHARETTA HWY 200 ROSWELL, GA 30076 (770) 442-3328 |
| 1760465108 | HARSH KAPOOR MD Individual | Internal Medicine (Gastroenterology) | 11685 ALPHARETTA HWY SUITE 305 ROSWELL, GA 30076 (770) 569-0777 |
| 1891773792 | MRS. JANICE JEAN WILES APRN,BC, FNP-C Individual | Nurse Practitioner (Family) | 11685 ALPHARETTA HWY SUITE 155 ROSWELL, GA 30076 (770) 442-0836 |
| 1265491492 | RENAL TREATMENT CENTERS MID ATLANTIC INC Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 11685 ALPHARETTA HWY # 100 ROSWELL, GA 30076 (678) 393-8144 |
| 1427198910 | DR. ERIC E RADER D.M.D. Individual | Dentist (General Practice) | 11685 ALPHARETTA HWY SUITE # 220 ROSWELL, GA 30076 (770) 475-4040 |
| 1164567277 | DR. RICHARD STEVEN WINER M.D. Individual | Psychiatry & Neurology (Psychiatry) | 11685 ALPHARETTA HWY SUITE 210 ROSWELL, GA 30076 (770) 442-1150 |
| 1972635175 | REHAB ATLANTA, INC. Organization | Rehabilitation Practitioner | 11685 ALPHARETTA HWY SUITE 155 ROSWELL, GA 30076 (770) 442-0836 |
| 1225133796 | WILLOW CREEK FAMILY MEDICINE, PC Organization | Family Medicine | 11685 ALPHARETTA HWY STE 300 ROSWELL, GA 30076 (678) 325-6611 |
| 1932554870 | ALPHARETTA FAMILY DENTAL ASSOC., INC. Organization | Dentist (General Practice) | 11685 ALPHARETTA HWY SUITE NO: 220 ROSWELL, GA 30076 (770) 475-4040 |
| 1366608770 | DR. SERENE ANNIE FRANCIS M D Individual | Internal Medicine (Rheumatology) | 11685 ALPHARETTA HWY SUITE120 ROSWELL, GA 30076 (770) 284-3150 |
| 1528033883 | DR. ALEXANDER S VOLJAVEC MD Individual | Internal Medicine | 11685 ALPHARETTA HWY STE 270 ROSWELL, GA 30076 (770) 619-5100 |
| 1033603832 | DEEP GAUTAM PATEL PA-C, ATC/L Individual | Physician Assistant | 11685 ALPHARETTA HWY ROSWELL, GA 30076 (770) 619-3842 |
| 1093869786 | DR. MELVIN DANA BULLOCK M.D. Individual | Internal Medicine (Gastroenterology) | 11685 ALPHARETTA HWY SUITE 320 ROSWELL, GA 30076 (770) 442-5882 |
| 1962476192 | MARK L. GRAVLEE, M.D., P.C. Organization | Surgery | 11685 ALPHARETTA HWY SUITE 180 ROSWELL, GA 30076 (770) 667-4991 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922405729, enumerated in the NPI registry as an "organization" on November 24, 2014
The provider is located at 11685 Alpharetta Hwy Suite 300 Roswell, Ga 30076 and the phone number is (678) 325-6611
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider's CLIA number is 11D2118762 for a "other - hospital out/p dept" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on November 24, 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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