TRIDENT MEDICAL GROUP PA
NPI 1699435081
Internal Medicine in Atlanta, GA

Active since December 27, 2021
3372 PEACHTREE ROAD, SUITE 115, ATLANTA, GA 30326(855) 770-7771(415) 808-6405 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 14, 2022, Nov 3, 2022, Sep 21, 2022 and 1 more (4 updates tracked since 2021).

  • Organization
  • Internal Medicine

About TRIDENT MEDICAL GROUP PA

This page provides the complete NPI Profile along with additional information for Trident Medical Group Pa, an internist established in Atlanta, Georgia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1699435081 assigned on December 2021. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Trident Medical Group Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Devion Smith (Director, Payer Contracting)

NPI
1699435081 Verify this NPI
Provider Name
TRIDENT MEDICAL GROUP PA
Entity Type
Organization
Location Address
3372 PEACHTREE ROAD SUITE 115 ATLANTA, GA 30326
Location Phone
(855) 770-7771
Location Fax
(415) 808-6405
Mailing Address
382 NE 191ST ST, PMB 75481 MIAMI, FL 33179
Mailing Phone
(310) 626-0149
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2021
Last Update Date
11-14-2022
Code Navigator

An internist like Trident Medical Group Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

 
2213EP0504XPodiatric Medicine & Surgery Service Providers

Podiatrist
Public Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEVION SMITH

Authorized Official Title
DIRECTOR, PAYER CONTRACTING
Authorized Official Phone
(424) 326-8711

Reviews for TRIDENT MEDICAL GROUP PA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699435081, enumerated as an "organization" on December 27, 2021.

The provider is located at 3372 PEACHTREE ROAD SUITE 115 ATLANTA, GA 30326 and the phone number is (855) 770-7771.

Internal Medicine with taxonomy code 207R00000X.