# WELLSTAR MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WELLSTAR MEDICAL GROUP, LLC
- **Other names:** OrthoXpress of Acworth
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609795855
- **Legal business name:** WELLSTAR MEDICAL GROUP, LLC
- **Authorized official:** LOUETTA M CODY (CREDENTIALING)
- **Authorized official phone:** (470) 956-4837

## Contact information

- **Practice address:** 4900 IVEY RD NW STE 1401, ACWORTH, GA 30101-4007
- **Practice address phone:** (470) 648-8108
- **Mailing address:** 206 OXFORD RD, NEW ALBANY, MS 38652-3115
- **Mailing address phone:** (662) 534-2227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/13/2026
- **Last updated:** 07/13/2026