WELLSTAR REHAB MEDICINE, LLC – Physical Medicine & Rehabilitation Physician, NPI 1780631630

WELLSTAR REHAB MEDICINE, LLC is a healthcare provider. based in Marietta, Georgia. specializing in Physical Medicine & Rehabilitation Physician. The NPI Number for WELLSTAR REHAB MEDICINE, LLC is 1780631630

Main info

Organization
Name
WELLSTAR REHAB MEDICINE, LLC
NPI
1780631630
Phone
(770) 793-7635
Address
100 LACY ST NW
Authorized Official
NICOLE ASHE EXECUTIVE DIRECTOR OF FINANCE
Enumeration Date
27 May 2006
Last Update Date
14 July 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for WELLSTAR REHAB MEDICINE, LLC

  • 100, Lacy Street Northwest, Elizabeth, Marietta, Cobb County, Georgia, 30060, United States

    SUITE 150

    MARIETTA, GA 300601113

    Phone: (770) 793-7635

    Fax: (770) 793-7645

    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.

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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 30060)

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Reviews

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Frequently asked questions

What is WELLSTAR REHAB MEDICINE, LLC's NPI number?
WELLSTAR REHAB MEDICINE, LLC's NPI is 1780631630 — the number used across U.S. healthcare to identify this provider.
Is WELLSTAR REHAB MEDICINE, LLC still an active registrant?
WELLSTAR REHAB MEDICINE, LLC carries an active NPI according to the public dataset.
How would a patient describe WELLSTAR REHAB MEDICINE, LLC's focus?
For WELLSTAR REHAB MEDICINE, LLC, the primary taxonomy reads as Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for WELLSTAR REHAB MEDICINE, LLC?
Travel planning: use Marietta, Georgia as the reference point for WELLSTAR REHAB MEDICINE, LLC, then confirm.
When was this NPI issued?
Enumeration for WELLSTAR REHAB MEDICINE, LLC is noted as May 27, 2006 where the registry provides it.

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