WELLSTAR MEDICAL GROUP LLC NPI 1497616742

NPI Information

  • NPI: 1497616742
  • Provider Name: WELLSTAR MEDICAL GROUP, LLC
  • Classification: Clinic/Center - 261QS1000X
  • Specialization: Student Health
  • Entity Type: Organization
  • Address: 1000 TECHNOLOGY WAY SUITE 1107
    MARIETTA, GA
    ZIP 30060
  • Phone: (470) 578-6644

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NPI Details

WELLSTAR MEDICAL GROUP, LLC is a student health clinic center in Marietta, GA. WELLSTAR MEDICAL GROUP, LLC NPI is 1497616742. The provider is registered as an organization entity type.

The provider's business location address is:

1000 TECHNOLOGY WAY SUITE 1107
MARIETTA, GA
ZIP 30060
Phone: (470) 578-6644
Fax: (470) 578-9205

The provider's authorized official is Chhavi Noohani .
The authorized official title is Medical Director and has the following contact phone number (470) 578-6644.

The enumeration date for this NPI number is 11/18/2025 and was last updated on 11/18/2025.

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
1261QS1000XClinic/CenterStudent HealthYes

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: 11/21/2025

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