Organization Active NPI

Trek Medical, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Alpharetta, GA
National Provider Identifier
1427424183
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
TREK MEDICAL, LLC
Practice address
5895 Windward Parkway
Suite 150
Alpharetta, GA 30005
Phone
(678) 580-6700
Fax
(770) 817-9201
NPI assigned
Aug 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Angelo Sambunaris, M.D.
Title
Medical Director
Phone
(678) 580-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

5895 Windward Parkway
Suite 150
Alpharetta, GA 30005

Mailing address

5895 Windward Parkway Suite 150
Alpharetta, GA 30005
Phone (678) 580-6700

National Provider Directory

National Provider Directory

Locations

5895 Windward Pkwy
Ste 150
Alpharetta, GA 30005
Phone (678) 580-6700

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1427424183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5895 WINDWARD PARKWAY SUITE 150",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30005",
            "telephone_number": "678-580-6700",
            "fax_number": "770-817-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5895 WINDWARD PARKWAY",
            "address_2": "SUITE 150",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30005",
            "telephone_number": "678-580-6700",
            "fax_number": "770-817-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREK MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "SAMBUNARIS",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "678-580-6700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.