Provider Type Icon

WELLSTAR SMYRNA PRIMARY CARE CENTER LLC NPI 1588607212


NPI Information

NPI: 1588607212
Provider Name: WELLSTAR SMYRNA PRIMARY CARE CENTER, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 11D2128436

Address:
562 CONCORD ROAD
SMYRNA, GA
ZIP 30082
Phone: (770) 384-9900
Get Directions

WELLSTAR SMYRNA PRIMARY CARE CENTER, LLC is a pediatrics in Smyrna, GA. The provider is 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. WELLSTAR SMYRNA PRIMARY CARE CENTER, LLC NPI is 1588607212. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

562 CONCORD ROAD
SMYRNA, GA
ZIP 30082
Phone: (770) 384-9900
Fax: (770) 384-9912

The provider's authorized official is Nicole Ashe .
The authorized official title is Executive Director Of Finance and has the following contact phone number (770) 792-5261.

The CLIA number assigned to this NPI record is 11D2128436 - other - family medicine clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/13/2006 and was last updated on 7/14/2008.


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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3208000000XPediatricsYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.