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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: August 16, 2026.

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

About Trident Medical Group Pa NPPES

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

TRIDENT MEDICAL GROUP PA (NPI 1699435081) is a healthcare organization registered as an internal medicine in Atlanta, Georgia and active in the NPI registry since December 2021. The organization lists Devion Smith, Director, Payer Contracting, as its authorized official.

NPPES Registry Identity

NPI1699435081
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTRIDENT MEDICAL GROUP PA
Location Address3372 PEACHTREE ROAD, SUITE 115Atlanta, GA 30326
Mailing Address382 Ne 191st St, Pmb 75481Miami, FL 33179-3899 · (310) 626-0149
Phone(855) 770-7771
Fax(415) 808-6405
Organization SubpartNo
Authorized OfficialDevion SmithDirector, Payer Contracting · (424) 326-8711
Enumeration DateDecember 27, 2021
Last NPPES UpdateNovember 14, 20224 updates tracked since enumeration
NPPES CertifiedNovember 14, 2022
✔ NPI 1699435081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
Also ListedPodiatristTaxonomy 213E00000X
Also ListedPodiatrist · Public MedicineTaxonomy 213EP0504X
3372 PEACHTREE ROAD, Atlanta, GA 30326
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Trident Medical Group PA's NPI number?

The NPI number for Trident Medical Group PA is 1699435081. It was assigned to this organization in the NPPES registry on December 27, 2021.

Where is Trident Medical Group PA located?

Trident Medical Group PA is located at 3372 Peachtree Road Suite 115, Atlanta, GA 30326. The listed phone number is (855) 770-7771.

What is Trident Medical Group PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Trident Medical Group PA was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.