Organization Active NPI

Tri County Medical

  • Physical Disabilities Residential Treatment Facility
  • Roswell, GA
National Provider Identifier
1285680587
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
TRI COUNTY MEDICAL
Practice address
1775 Woodstock Rd
Suite 110
Roswell, GA 30075-2171
Phone
(678) 990-0510
Fax
(678) 990-0521
NPI assigned
May 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott H Depol, D.C.
Title
Owner
Phone
(678) 990-0510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X Primary

Addresses

Primary practice location

1775 Woodstock Rd
Suite 110
Roswell, GA 30075-2171

Mailing address

1775 Woodstock Rd
Suite 110
Roswell, GA 30075-2171
Phone (678) 990-0510

National Provider Directory

National Provider Directory

Locations

1775 Woodstock Rd
Roswell, GA 30075
Phone (678) 990-0510

1775 Woodstock Rd
Ste 110
Roswell, GA 30075
Phone (678) 507-1045

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285680587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 WOODSTOCK RD",
            "address_2": "SUITE 110",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752171",
            "telephone_number": "678-990-0510",
            "fax_number": "678-990-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 WOODSTOCK RD",
            "address_2": "SUITE 110",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752171",
            "telephone_number": "678-990-0510",
            "fax_number": "678-990-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEPOL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-990-0510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.