OrganizationWellstar Medical Group, Llc(<Unavail>)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address145 N Medical Pkwy, Woodstock, GA 30189-7031(770) 592-3000PECOS EnrollmentBased on the most recent information from CMS, provider Wellstar Medical Group, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1548566185Provider TypeOrganizationFull NameWellstar Medical Group, LlcOther Name<Unavail>SubpartYesEnumeration Date1/30/2011Last Updated11/19/2013Contact InformationPractice LocationPractice Address145 N Medical Pkwy, Woodstock, GA 30189-7031Phone(770) 592-3000Fax(770) 592-3012Mailing LocationMailing Address145 N Medical Pkwy, Woodstock, GA 30189-7031Phone(770) 592-3000Fax(770) 592-3012Authorized OfficialNameAshe, Nicole (Executive Director Of Finance)Phone(470) 644-0095Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerGeorgiaCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerGeorgia