Active NPI
Jeffrey S. Trimble, PA
- Physician Assistant
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002532
- Practice address
- 2000 Howard Farm Dr Ste 320
Cumming, GA 30041-6082 - Phone
- (404) 847-4180
- Fax
- (404) 250-8099
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002532 | GA | Primary |
Addresses
Primary practice location
2000 Howard Farm Dr Ste 320
Cumming, GA 30041-6082
Mailing address
Northside Hospital- Managed Care Dept
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 300-2476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807183998A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Oklahoma College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Johnson Ferry NE
Atlanta, GA 30342-1606
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000
2000 Howard Farm Dr
Suite 305
Cumming, GA 30041-6075
Phone (404) 847-4180
Hospital & facility affiliations
- Northside Hospital
- Northside Hospital Forsyth
- Northeast Georgia Medical Center, Inc
- Northside Hospital Cherokee
- Northside Hospital Duluth
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.76 of 100
- Quality
- 75.02
- Promoting interoperability
- 75
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
-
dba Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
dba Northside Hospital Forsyth
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
dba Northside Hospital Duluth
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1285600064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NORTHSIDE HOSPITAL- MANAGED CARE DEPT",
"address_2": "1000 JOHNSON FERRY RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421606",
"telephone_number": "404-300-2476",
"fax_number": "404-250-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 HOWARD FARM DR STE 320",
"city": "CUMMING",
"state": "GA",
"postal_code": "300416082",
"telephone_number": "404-847-4180",
"fax_number": "404-250-8099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIMBLE",
"first_name": "JEFFREY",
"middle_name": "S.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "002532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807183998A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.