JAYSON TRIPP DO
Complete NPI Record 1578053138
Psychiatry & Neurology - Psychiatry in Roswell, GA

Active since May 18, 2018PECOS EnrolledAccepts Medicare Assignment

300 COLONIAL CENTER PKWY STE 350, ROSWELL, GA 30076(678) 861-1832(678) 585-2259 Get Directions

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 28, 2026, May 13, 2026, Jan 5, 2026 and 4 more (7 updates tracked since 2018).

Complete NPI Dataset

This page contains the complete raw NPPES record for Jayson Tripp, DO (NPI 1578053138), an individual psychiatry & neurology provider in Roswell, GA. All 59 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.

Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.

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NPI: 1578053138: The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1: Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Last Name Legal Name: TRIPP: The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: JAYSON: The first name of the provider, if the provider is an individual.
Provider Credential Text: DO: The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address: 1501 N GILBERT RD STE 206: The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City Name: GILBERT: The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: AZ: The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code: 852342394: The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Country Code If outside U S : US: The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
Provider Business Mailing Address Telephone Number: 4806267584: The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider First Line Business Practice Location Address: 300 COLONIAL CENTER PKWY STE 350: The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: ROSWELL: The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: GA: The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 300764893: The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US: The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 6788611832: The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 6785852259: The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 5/18/2018: The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 5/28/2026: The date that a record was last updated or changed.
Provider Gender Code: M: The code designating the provider's gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 183500000X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: S015504: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 1: AZ: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 1: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 2: 2084P0800X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 2: OS19034: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 2: FL: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 2: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 3: 2084P0800X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 3: 98893: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 3: GA: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 3: Y: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 4: 2084P0800X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 4: T9036: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 4: TX: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 4: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 5: 2084P0800X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 5: 12306263-1204: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 5: UT: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 5: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 6: 2084P0800X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 6: 2020-03587: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 6: NC: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 6: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 7: 2084P0800X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 7: 009117: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 7: AZ: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 7: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 8: 2084P0800X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 8: DR.0066525: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 8: CO: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 8: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 9: 2084P0800X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 9: CL0305: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 9: NV: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 9: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Is Sole Proprietor: Y: Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
NPI Certification Date: 5/28/2026: The date on which the National Provider Identifier (NPI) was officially assigned and certified to the provider. This reflects when the provider's NPI record first became active in the NPPES system.

Secondary Practice Locations 49

The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.

9399 Crown Crest Blvd Ste 401

1/49

Parker, CO 80138-8540 · Phone (720) 712-0306

500 Discovery Pkwy Ste 350

2/49

Superior, CO 80027-8639 · Phone (720) 712-0306

6071 E Woodmen Rd Ste 200

3/49

Colorado Springs, CO 80923-2609 · Phone (719) 212-2108

6071 E Woodmen Rd Ste 135

4/49

Colorado Springs, CO 80923-2608 · Phone (719) 212-2108

425 S Cherry St Fl 10

5/49

Denver, CO 80246-1226 · Phone (720) 712-0306

255 S Routt St Ste 250

6/49

Lakewood, CO 80228-2214 · Phone (720) 712-0306

841 Prudential Dr Ste 1100

7/49

Jacksonville, FL 32207-8352 · Phone (904) 902-4408

1760 E Pecos Rd Ste 247

8/49

Gilbert, AZ 85295-3214 · Phone (480) 626-7584

2695 Rocky Mountain Ave Ste 350

9/49

Loveland, CO 80538-9077 · Phone (720) 712-0306

2370 Corporate Cir Ste 230

10/49

Henderson, NV 89074-7752 · Phone (725) 235-7883

7455 W Washington Ave Ste 420

11/49

Las Vegas, NV 89128-4352 · Phone (725) 235-7883

9600 N Mopac Expy Ste 650

12/49

Austin, TX 78759-6507 · Phone (512) 955-8474

9600 N Mopac Expy Ste 225

13/49

Austin, TX 78759-6507 · Phone (512) 955-8474

600 Six Flags Dr Ste 600

14/49

Arlington, TX 76011-6340 · Phone (817) 527-8621

6500 West Fwy Ste 700

15/49

Fort Worth, TX 76116-2180 · Phone (817) 527-8621

2695 Rocky Mountain Ave Ste 260

16/49

Loveland, CO 80538-9075 · Phone (720) 712-0306

6622 Southpoint Dr S Ste 400A

17/49

Jacksonville, FL 32216-8014 · Phone (904) 902-4408

9102 Southpark Center Loop Ste 120

18/49

Orlando, FL 32819-8626 · Phone (689) 282-6774

255 Primera Blvd Ste 520

19/49

Lake Mary, FL 32746-2158 · Phone (689) 282-6774

255 Primera Blvd Ste 264

20/49

Lake Mary, FL 32746-2148 · Phone (689) 282-6774

9400 Southpark Center Loop Ste 450

21/49

Orlando, FL 32819-8647 · Phone (689) 282-6774

3800 Gaylord Pkwy Spc 1100

22/49

Frisco, TX 75034-0584 · Phone (817) 527-8621

7455 W Washington Ave Ste 460

23/49

Las Vegas, NV 89128-4338 · Phone (725) 235-7883

1415 Legacy Dr Ste 220

24/49

Frisco, TX 75034-6025 · Phone (817) 527-8621

2221 Lakeside Blvd Ste 1225

25/49

Richardson, TX 75082-4370 · Phone (817) 527-8621

1507 Lyndon B Johnson Fwy Ste 750

26/49

Dallas, TX 75234-6088 · Phone (817) 527-8621

500 Discovery Pkwy Ste 250

27/49

Superior, CO 80027-8762 · Phone (720) 712-0306

1505 Wigwam Pkwy Ste 211

28/49

Henderson, NV 89074-8195 · Phone (725) 235-7883

2132 N Robins Dr Ste 300

29/49

Layton, UT 84041-7077 · Phone (801) 821-2781

3300 N Triumph Blvd Ste 500

30/49

Lehi, UT 84043-6475 · Phone (801) 821-2781

395 W State Highway 114 Ste 120

31/49

Southlake, TX 76092-3631 · Phone (817) 527-8621

431 E State Highway 114 Ste 400

32/49

Southlake, TX 76092-4414 · Phone (817) 527-8621

10622 State Highway 151 Ste 209

33/49

San Antonio, TX 78251-4864 · Phone (726) 207-5519

6550 S Millrock Dr Ste 250

34/49

Salt Lake City, UT 84121-2331 · Phone (801) 821-2781

8080 N Central Expy Ste 1250

35/49

Dallas, TX 75206-1890 · Phone (817) 527-8621

3355 W Alabama St Ste 1100

36/49

Houston, TX 77098-1868 · Phone (346) 537-1292

3355 W Alabama St Ste 960

37/49

Houston, TX 77098-1874 · Phone (346) 537-1292

3 Sugar Creek Center Blvd Ste 600

38/49

Sugar Land, TX 77478-2213 · Phone (346) 537-1292

18615 Tuscany Stone Ste 250

39/49

San Antonio, TX 78258-3504 · Phone (726) 207-5519

20950 N Tatum Blvd Ste 380

40/49

Phoenix, AZ 85050-4258 · Phone (480) 626-7584 · Fax (480) 210-0230

36457 N Gantzel Rd Ste 102

41/49

San Tan Valley, AZ 85140-7343 · Phone (480) 626-7584 · Fax (480) 210-0230

990 Hammond Dr Ste 600

42/49

Atlanta, GA 30328-5510 · Phone (678) 861-1832 · Fax (678) 585-2259

2355 E Camelback Rd Ste 625

43/49

Phoenix, AZ 85016-3458 · Phone (480) 626-7584 · Fax (480) 210-0230

4545 E Chandler Blvd Ste 308

44/49

Phoenix, AZ 85048-7646 · Phone (480) 626-7584 · Fax (480) 210-0230

145 W 200 N Ste 600

45/49

Provo, UT 84601-3016 · Phone (801) 821-2781

1501 N Gilbert Rd Ste 206

46/49

Gilbert, AZ 85234-2394 · Phone (480) 626-7584 · Fax (480) 210-0230

1860 N 95th Ln Ste 300

47/49

Phoenix, AZ 85037-5074 · Phone (480) 626-7584 · Fax (480) 210-0230

2046 W Riverview Auto Dr Ste 401

48/49

Mesa, AZ 85201-7597 · Phone (480) 626-7584 · Fax (480) 210-0230

203 Fort Wade Rd Unit 250

49/49

Ponte Vedra, FL 32081-5214 · Phone (904) 902-4408

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