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WELLSTAR HEALTH SYSTEMS NPI 1013330364


NPI Information

NPI: 1013330364
Provider Name: WELLSTAR HEALTH SYSTEMS
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 11D0254112

Address:
1680 HOSPITAL SOUTH DR
AUSTELL, GA
ZIP 30106
Phone: (470) 956-8364
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WELLSTAR HEALTH SYSTEMS is a medical specialty clinic center in Austell, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). WELLSTAR HEALTH SYSTEMS NPI is 1013330364. The provider is registered as an organization entity type.

The provider's business location address is:

1680 HOSPITAL SOUTH DR
AUSTELL, GA
ZIP 30106-110
Phone: (470) 956-8364

The provider's authorized official is Raxit R Patel .
The authorized official title is Physician and has the following contact phone number (470) 956-8364.

The CLIA number assigned to this NPI record is 11D0254112 - ancillary testing site in health care center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/22/2014 and was last updated on 2/24/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty64951GEORGIAYes
2282N00000XGeneral Acute Care Hospital64951GEORGIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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