Active NPI
Trinity Treatment Center, Inc
- Methadone Clinic
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- NTP001036
- Legal business name
- TRINITY TREATMENT CENTER, INC
- Practice address
- 1221 Newberg Ave
Macon, GA 31206-3011 - Phone
- (478) 788-5600
- Fax
- (478) 788-5660
- NPI assigned
- Jan 16, 2009
- Last updated
- Jan 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Karine Alleyne, R.PH
- Title
- Program Administrator
- Phone
- (478) 788-5600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | NTP001036 | GA | Primary |
Addresses
Primary practice location
1221 Newberg Ave
Macon, GA 31206-3011
Mailing address
PO Box 3613
Macon, GA 31205-3613
Phone (478) 788-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 706654600A | Medicaid | GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1068568 | Trinity Treatment Center Incorporate | Certificate of waiver | May 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
1221 Newberg Ave
Macon, GA 31206
Phone (478) 788-5600
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Macon, GA
- NPI 1881390458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232064000000",
"number": "1851538573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3613",
"city": "MACON",
"state": "GA",
"postal_code": "312053613",
"telephone_number": "478-788-5600",
"fax_number": "478-788-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 NEWBERG AVE",
"city": "MACON",
"state": "GA",
"postal_code": "312063011",
"telephone_number": "478-788-5600",
"fax_number": "478-788-5660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY TREATMENT CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-16",
"last_updated": "2009-01-16",
"status": "A",
"authorized_official_last_name": "ALLEYNE",
"authorized_official_first_name": "KARINE",
"authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
"authorized_official_telephone_number": "478-788-5600",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.PH"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "GA",
"license": "NTP001036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "706654600A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.