Tri Star Drug and Alcohol

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TRI STAR DRUG AND ALCOHOL

Practice address

600 N Jefferson St Unit C
Dublin, GA 31021-6302

Phone

(478) 292-5755

NPI assigned

Nov 7, 2022

Organization subpart

No

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

Authorized official

Name

Mr. John William Goolsby IIINPI 1780254243

Title

Admin

Phone

(478) 246-1027

Specialties & licenses 6

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• John William Goolsby III

  • Case Manager/Care Coordinator
  • Dublin, GA
  • NPI 1780254243
  NPD Authorized official

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1285341503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N JEFFERSON ST UNIT C",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310216302",
            "telephone_number": "478-292-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N JEFFERSON ST UNIT C",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310216302",
            "telephone_number": "478-292-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STAR DRUG AND ALCOHOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "GOOLSBY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "478-246-1027",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1421",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Customerservice@tristartesting.com",
            "affiliation": "N",
            "endpointDescription": "Customer service",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 N Jefferson St",
            "city": "Dublin",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310216302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Georgia Anna Tolbert, RN
• Kelly W Toler, PA C
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• Michelle K. Touchberry, LPC
• Anissa Dawn Triplett, FNP
• Angela Troup, LPN
• Trucare Hospice LLC
• Truebright Adult Day Center
• Elizabeth M Tyler, LPN

• Clinic/Center in Dublin, GA
• Providers in Dublin, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.