WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS – Specialist, NPI 1396738381

WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS is a healthcare provider. based in Hiram, Georgia. specializing in Specialist. The organization holds a License No. 024912 (LA). The NPI Number for WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS is 1396738381

Main info

Organization
Name
WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS
NPI
1396738381
Phone
(678) 945-8300
Address
51 HIRAM DR
Authorized Official
DR. KELLY DAVILLIER PHYSICIAN MD
Enumeration Date
25 August 2005
Last Update Date
8 December 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS

  • 51, Hiram Drive, Hiram, Paulding County, Georgia, 30141, United States

    HIRAM, GA 301411844

    Phone: (678) 945-8300

    Fax: (770) 445-2020

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30141)

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Reviews

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Frequently asked questions

Can I use this page to confirm WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS's NPI?
Yes. WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS is listed with NPI 1396738381 in the public NPI dataset.
Does CMS list WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS as active?
Yes — WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS is active in the NPI listing used on this page.
What taxonomy line describes WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS?
For research purposes, treat WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS as Other Service Providers in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS on a map?
Expect Hiram, Georgia as a primary anchor for WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS unless the record lists multiple sites.
Why does WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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