# WELLSTAR ATLANTA MEDICAL CENTER, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** WellStar Atlanta Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598795585
- **Authorized official:** MR. ANTHONY J BUDZINSKI (EVP)
- **Authorized official phone:** (470) 644-0012

## Contact information

- **Practice address:** 303 PARKWAY DR NE, ATLANTA, GA 30312-1212
- **Practice address phone:** (404) 265-4000
- **Mailing address:** 1800 PARKWAY PL SE STE 500, MARIETTA, GA 30067-8237
- **Mailing address phone:** (470) 956-4981
- **Mailing address fax:** (770) 792-5272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | — | — |
| 282N00000X | General Acute Care Hospital | 060-551 | GA | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 10/31/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000000789A | — | GA |
| 05 | — | 000001713A | — | GA |
| 01 | — | 000445 | HUMANA | — |
| 01 | — | 003419 | BCBS OF GEORGIA | GA |
| 05 | — | 03521208 | — | MS |
| 05 | — | 1100115 | — | NC |
| 01 | — | 110115B000000 | SECTION 1011 | GA |
| 01 | — | 13313 | COVENTRY HEALTH CARE GEOR | GA |
| 05 | — | 1707945 | — | LA |
| 05 | — | 1990A | — | SC |
| 01 | — | 573351850 | AETNA US HEALTHCARE (NATI | — |
| 01 | — | 582329008001 | BCBS ILLINOIS | IL |
| 01 | — | 58909 | BCBS OF ARIZONA | AZ |
| 01 | — | 918757200 | MEDICAID OF FLORIDA | FL |
| 05 | — | ATL0115N | — | AL |