★★☆☆☆2 out of 5 StarsWhy 2 stars?Wellstar North Fulton Medical Center's 2-star rating reflects above-average performance on Safety of Care and Timely Care and below-average performance on Patient Experience.
CMS Overall Hospital Quality Star Rating · Wellstar North Fulton Medical Center
How was Wellstar North Fulton Medical Center's 2-star rating calculated?
The CMS Overall Hospital Quality Star Rating applies to
acute care hospitals like Wellstar North Fulton Medical Center. CMS standardizes
every underlying measure against the national rate, computes
a weighted score for each of five domains, sums them by the
fixed weights below, and assigns 1–5 stars using k-means
clustering across all reporting hospitals.
Domains that fed Wellstar North Fulton Medical Center's rating
Domain
Weight
Measures reported
Hospital performance vs. national
Mortality
22%
6 of 7
0 better6 same0 worse
Safety of Care
22%
17 of 19
4 better11 same2 worse
Readmissions
22%
4 of 6
1 better3 same0 worse
Timely & Effective Care
12%
15 of 22
5 better9 same1 worse
Patient Experience
22%
HCAHPS
See HCAHPS detail below
How star meaning varies by hospital type.
This CMS Overall Star Rating only applies to acute care
hospitals. Children's hospitals (Pediatric Quality), psychiatric
hospitals (IPFQR), inpatient rehabilitation facilities (IRF QRP),
long-term acute care hospitals (LTACH QRP), and VA medical centers
each use separate quality programs designed for their patient
populations. Comparing star ratings across these facility types
isn't meaningful — see the methodology page for the full mapping
of which program applies to which facility.
Measures the rate at which patients die within 30 days of hospital admission for specific conditions. A lower mortality rate indicates better outcomes.
Wellstar North Fulton
WorseUS AvgBetter
Underlying measures:Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNo Different Than the National RateHospital score: 3.70 95% interval: 3.10 – 4.40 Sample size: 1,057Reporting period: 07/01/2023 – 06/30/2024CMS measure id: Hybrid_HWMDeath rate for COPD patientsNo Different Than the National RateHospital score: 9.50 95% interval: 5.90 – 14.40 Sample size: 34Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_COPDDeath rate for heart attack patientsNo Different Than the National RateHospital score: 12.60 95% interval: 9.50 – 16.30 Sample size: 97Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_AMIDeath rate for heart failure patientsNo Different Than the National RateHospital score: 11.70 95% interval: 8.90 – 15.40 Sample size: 229Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_HFDeath rate for pneumonia patientsNo Different Than the National RateHospital score: 14.00 95% interval: 11.40 – 17.20 Sample size: 365Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_PNDeath rate for stroke patientsNo Different Than the National RateHospital score: 15.30 95% interval: 12.50 – 18.40 Sample size: 266Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_STKDeath rate for CABG surgery patientsNot AvailableHospital score: — Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_CABG
Safety of Care
Better than National Average
Tracks hospital-acquired infections, surgical complications, and other patient safety indicators. Lower rates indicate better safety practices.
Wellstar North Fulton
WorseUS AvgBetter
Underlying measures:Clostridium Difficile (C.Diff)Better than the National BenchmarkHospital score: 0.09 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_6_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)Better than the National BenchmarkHospital score: 0.23 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_2_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)Better than the National BenchmarkHospital score: 0.18 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_1_SIRMRSA BacteremiaBetter than the National BenchmarkHospital score: 0.00 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_5_SIRAbdominopelvic accidental puncture or laceration rateNo Different Than the National RateHospital score: 1.16 95% interval: 0.15 – 2.18 Sample size: 582Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_15Iatrogenic pneumothorax rateNo Different Than the National RateHospital score: 0.23 95% interval: 0.01 – 0.44 Sample size: 4,036Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_06In-hospital fall-associated fracture rateNo Different Than the National RateHospital score: 0.27 95% interval: 0.07 – 0.47 Sample size: 3,735Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_08Postoperative hemorrhage or hematoma rateNo Different Than the National RateHospital score: 2.23 95% interval: 0.64 – 3.81 Sample size: 861Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_09Perioperative pulmonary embolism or deep vein thrombosis rateNo Different Than the National RateHospital score: 3.38 95% interval: 1.22 – 5.54 Sample size: 880Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_12Postoperative acute kidney injury requiring dialysis rateNo Different Than the National RateHospital score: 1.61 95% interval: 0.00 – 3.30 Sample size: 185Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_10Postoperative respiratory failure rateNo Different Than the National RateHospital score: 11.88 95% interval: 3.79 – 19.98 Sample size: 186Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_11Postoperative sepsis rateNo Different Than the National RateHospital score: 5.99 95% interval: 2.01 – 9.96 Sample size: 177Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_13SSI - Colon SurgeryNo Different than National BenchmarkHospital score: 2.02 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_3_SIRDeath rate among surgical inpatients with serious treatable complicationsNo Different Than the National RateHospital score: 181.73 95% interval: 134.04 – 229.41 Sample size: 85Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_04Postoperative wound dehiscence rateNo Different Than the National RateHospital score: 1.70 95% interval: 0.20 – 3.20 Sample size: 149Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_14Pressure ulcer rateWorse Than the National RateHospital score: 1.63 95% interval: 0.88 – 2.39 Sample size: 3,480Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_03CMS Medicare PSI 90: Patient safety and adverse events compositeWorse Than the National ValueHospital score: 1.37 95% interval: 1.01 – 1.74 Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_90Rate of complications for hip/knee replacement patientsNumber of Cases Too SmallHospital score: — Reporting period: 04/01/2021 – 03/31/2024CMS measure id: COMP_HIP_KNEESSI - Abdominal HysterectomyNot AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_4_SIR
Readmissions
Same as National Average
Measures how often patients return to the hospital within 30 days of discharge. Lower readmission rates suggest effective treatment and discharge planning.
Based on the HCAHPS survey — patient satisfaction with communication, cleanliness, pain management, and discharge information.
Wellstar North Fulton
WorseUS AvgBetter
Patient survey detail — the questions feeding the Patient Experience domain above
expand ↓
CMS computes the Patient Experience domain from the federal HCAHPS survey.
Each bar below is one survey question; the percentage is the share of
Wellstar's recent patients who gave the most positive
response. HCAHPS percentages aren't directly comparable across all measures —
see the methodology page for how CMS weights them.
Communication with Nurses69%
Communication with Doctors73%
Hospital Cleanliness63%
Hospital Quietness50%
Staff ResponsivenessN/A
Discharge Information78%
Overall Hospital Rating (9 or 10)62%
Would Recommend Hospital64%
Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.
Timely & Effective Care
Better than National Average
Measures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.
Wellstar North Fulton
WorseUS AvgBetter
Underlying measures:Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patientsBetter than ~75% of hospitalsHospital score: 100.00 % National median: 97.00 % (higher is better)
Sample size: 63Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_29Intensive Care Unit Venous Thromboembolism ProphylaxisBetter than ~75% of hospitalsHospital score: 100.00 % National median: 97.00 % (higher is better)
Sample size: 1,620Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_2Left before being seenBetter than ~75% of hospitalsHospital score: 0.00 % National median: 1.00 % (lower is better)
Sample size: 40,565Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_22Severe Sepsis 6-Hour BundleBetter than ~75% of hospitalsHospital score: 99.00 % National median: 94.00 % (higher is better)
Sample size: 108Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_6HRVenous Thromboembolism ProphylaxisBetter than ~75% of hospitalsHospital score: 99.00 % National median: 90.00 % (higher is better)
Sample size: 4,869Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_1Safe Use of Opioids - Concurrent PrescribingNear the national medianHospital score: 16.00 % National median: 15.00 % (lower is better)
Sample size: 2,542Reporting period: 01/01/2024 – 12/31/2024CMS measure id: SAFE_USE_OF_OPIOIDSAverage (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is betterNear the national medianHospital score: 178.00 min National median: 148.00 min (lower is better)
Sample size: 352Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18bAverage (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is betterNear the national medianHospital score: 180.00 min National median: 154.00 min (lower is better)
Sample size: 374Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18aAppropriate care for severe sepsis and septic shockNear the national medianHospital score: 66.00 % National median: 64.00 % (higher is better)
Sample size: 201Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_1Septic Shock 3-Hour BundleNear the national medianHospital score: 74.00 % National median: 72.00 % (higher is better)
Sample size: 68Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_3HRSeptic Shock 6-Hour BundleNear the national medianHospital score: 86.00 % National median: 89.00 % (higher is better)
Sample size: 43Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_6HRHospital Harm - Severe HyperglycemiaNear the national medianHospital score: 7.00 % National median: 8.00 % (lower is better)
Sample size: 14,879Reporting period: 01/01/2024 – 12/31/2024CMS measure id: HH_HYPERSevere Sepsis 3-Hour BundleNear the national medianHospital score: 80.00 % National median: 81.00 % (higher is better)
Sample size: 201Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_3HRHealthcare workers given influenza vaccinationNear the national medianHospital score: 73.00 % National median: 79.00 % (higher is better)
Sample size: 2,218Reporting period: 10/01/2024 – 03/31/2025CMS measure id: IMM_3Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is betterWorse than ~75% of hospitalsHospital score: 360.00 min National median: 248.00 min (lower is better)
Sample size: 20Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18c
Clinical Staff
Wellstar North Fulton Medical Center has 517 CMS-affiliated
clinicians on its roster — physicians, advanced practice providers, and other
Medicare-enrolled professionals who list this hospital as an affiliated facility.
Top specialties
Diagnostic Radiology84
Family Practice59
Internal Medicine57
Neurology28
Physician Assistant24
Nurse Practitioner22
Hospitalist21
Certified Registered Nurse Anesthetist (Crna)20
Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.
Practice characteristics
Accept Medicare assignment
447(86%)
Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.
Offer telehealth
173(33%)
Indicated by the clinician in their CMS profile as routinely providing virtual visits.
Medicare quality scoring (MIPS)
333 of these clinicians have a published
Merit-based Incentive Payment System (MIPS) final score.
Of those, 310
(93%) score above the national median of 85.5.
MIPS scoring is heavily compressed at the top of the 0–100 range, so individual scores
are not a reliable consumer signal. We surface roster-level coverage and the share
above the national median instead.
Source: CMS Doctors and Clinicians (Care Compare) national downloadable file
and MIPS Performance Year final scores, as of 2026-05-27.
Affiliations from the CMS Facility Affiliations dataset. About 16% of small
facilities (critical access, rural emergency, freestanding psych, IRF/LTCH)
do not appear in the affiliations file and therefore have no panel.
Find a Doctor
Search the 517 clinicians affiliated with Wellstar North Fulton Medical Center.
Each name links to that clinician's official Medicare Care Compare profile, where you can see
their credentials, secondary specialties, group affiliations, and (when applicable) MIPS quality scores.
No clinicians match that search. Try a broader term like "internal medicine" or just a last name.
Roster from CMS Doctors and Clinicians (Care Compare), updated 2026-05-27.
A clinician may also practice at other facilities; "affiliated" means this hospital is on their CMS
profile, not that they exclusively work here.
Quality and ratings data are sourced from the U.S. Centers for
Medicare & Medicaid Services (CMS) Hospital Compare program.
Star ratings are CMS's own calculation; CareRanks does not modify
or re-weight them. Facility-level details (address, beds,
ownership, teaching status) come from CMS provider files and the
CMS Provider of Services file.
Pricing data, where shown, is drawn from the hospital's own
Machine-Readable File (MRF) published under the federal Hospital
Price Transparency Rule. See our methodology for the full update
cadence and limitations.