Organization · Type 2 NPI

Wellstar Medical Group, LLC

Physician Assistant · Acworth, GA

NPI number 1609795855 Active

Practice location

4900 Ivey Rd NW Ste 1401
Acworth, GA 30101-4007

Mailing address

206 Oxford Rd
New Albany, MS 38652-3115

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1609795855

Wellstar Medical Group, LLC's National Provider Identifier is 1609795855, issued on Jul 13, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Acworth, GA. The record was last updated on Jul 13, 2026.