Trinity Pain Relief Center LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

TRINITY PAIN RELIEF CENTER LLC

Practice address

9434 S Main St
Suite 1100
Jonesboro, GA 30236-8711

Phone

(770) 478-1300

Fax

(770) 478-9385

NPI assigned

Dec 28, 2007

Reactivated

Feb 21, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Genia C Fraser-Sword, DC

Title

Owner

Phone

(770) 478-1300

Specialties & licenses 6

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina Tyree Gary, FNP

  • Family Nurse Practitioner
  • Dunwoody, GA
  • NPI 1750951349
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1114101946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9434 SOUTH MAIN STREET",
            "address_2": "SUITE 1100",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302366092",
            "telephone_number": "770-478-1300",
            "fax_number": "770-478-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9434 S MAIN ST",
            "address_2": "SUITE 1100",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302368711",
            "telephone_number": "770-478-1300",
            "fax_number": "770-478-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PAIN RELIEF CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "deactivation_date": "2020-01-30",
        "reactivation_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "FRASER-SWORD",
        "authorized_official_first_name": "GENIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-478-1300",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006745",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007730",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "19354",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "PT006876",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Transitional Georgia LLC
• Triad Med Solutions
• Triad Med Support, LLC
• Ingrid Trice, BS IN MENTAL HEALTH
• Trinity Connections Consultants, LLC
• Trinity Wellness Center, LLC.
• Triple J Medical Supply
• True Life Transportation, Inc.
• Lateisha Zondo Turner, MSIT
• Jamar Kinte Tyler

• Surgery Physician in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.