Organization Active NPI

Trinity Palliative Care of Ga

  • Health Service Clinic/Center
  • Acworth, GA
National Provider Identifier
1295564722
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
TRINITY PALLIATIVE CARE OF GA
Practice address
3660 Cedarcrest Rd Ste 120
Acworth, GA 30101-8928
Phone
(770) 599-2477
NPI assigned
Aug 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Stephen Molineaux, LPN, NRP
Title
Ceo
Phone
(770) 599-2477

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3660 Cedarcrest Rd Ste 120
Acworth, GA 30101-8928

Mailing address

3660 Cedarcrest Rd Ste 120
Acworth, GA 30101-8928
Phone (770) 599-2477

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3660 Cedarcrest Rd
Ste 120
Acworth, GA 30101
Phone (770) 599-2477

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1295564722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 CEDARCREST RD STE 120",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018928",
            "telephone_number": "770-599-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 CEDARCREST RD STE 120",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018928",
            "telephone_number": "770-599-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PALLIATIVE CARE OF GA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "MOLINEAUX",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-599-2477",
        "authorized_official_credential": "LPN, NRP"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.