Trident Medical Group

Primary specialty

Managed Care Organization PharmacyTaxonomy code 3336M0003X

Legal business name

TRIDENT MEDICAL GROUP

Practice address

888 Oakdale Rd NE
Atlanta, GA 30307-1210

Phone

(678) 997-9895

NPI assigned

Sep 10, 2024

Organization subpart

No

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

Authorized official

Name

Kathryn Duphily

Title

Operations Manager

Phone

(678) 997-9895

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25244/brand/1/csg/66/fhir/r4

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1124854922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 OAKDALE RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071210",
            "telephone_number": "678-997-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 OAKDALE RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071210",
            "telephone_number": "678-997-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "DUPHILY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "678-997-9895"
    },
    "taxonomies": [
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald P Trible Jr., M.D., PH.D.
• Sloan Trice
• Zakeya Trice
• Shirley D Triche, N.P.
• Trickstrong, LLC
• Trident Medical Group PA
• Tridentcare Health Services, Inc.
• Anh Van Trieu, PA-C
• Elissa Trieu
• Trillionheir Holdings LLC

• Pharmacy in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.