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TRINITY PEDIATRIC MEDICINE OF FAYETTEVILLE
NPI 1609247311
Pediatrics in Atlanta, GA

Active since October 08, 2015
3695 CASCADE RD SW STE V, ATLANTA, GA 30331(404) 696-6595 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trinity Pediatric Medicine Of Fayetteville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRINITY PEDIATRIC MEDICINE OF FAYETTEVILLE (NPI 1609247311) is a healthcare organization registered as a pediatrics in Atlanta, Georgia and active in the NPI registry since October 2015. The organization lists Paul Mckoy, Cfo, as its authorized official.

NPPES Registry Identity

NPI1609247311
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTRINITY PEDIATRIC MEDICINE OF FAYETTEVILLE
Location Address3695 CASCADE RD SW STE VAtlanta, GA 30331-2146
Mailing Address719 Lanier Ave W Ste A2Fayetteville, GA 30214-7634
Phone(404) 696-6595
Organization SubpartNo
Authorized OfficialPaul MckoyCfo · (678) 517-8368
Enumeration DateOctober 8, 2015
✔ NPI 1609247311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3695 CASCADE RD SW STE V, Atlanta, GA 30331
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEAUTIFUL SMILES AT MLK
Dentist
3695 CASCADE RD SW STE V
ATLANTA, GA 30331
Fulton County (404) 696-6595
BEAUTIFUL SMILES ORTHODONTICS, LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
3695 CASCADE RD SW STE V
ATLANTA, GA 30331
Fulton County (404) 696-1023
BEAUTIFUL SMILES INC.
Dentist (General Practice)
3695 CASCADE RD SW STE V
ATLANTA, GA 30331
Fulton County (404) 696-6595
DR. PAUL MCKOY D.D.S.
Dentist (General Practice)
3695 CASCADE RD SW STE V
ATLANTA, GA 30331
Fulton County (404) 696-6595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trinity Pediatric Medicine Of Fayetteville's NPI number?

The NPI number for Trinity Pediatric Medicine Of Fayetteville is 1609247311. It was assigned to this organization in the NPPES registry on October 8, 2015.

Where is Trinity Pediatric Medicine Of Fayetteville located?

Trinity Pediatric Medicine Of Fayetteville is located at 3695 Cascade Rd SW Ste V, Atlanta, GA 30331. The listed phone number is (404) 696-6595.

What is Trinity Pediatric Medicine Of Fayetteville's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Trinity Pediatric Medicine Of Fayetteville was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.