Organization Active NPI

Trinity Treatment Center, Inc

  • Methadone Clinic
  • Macon, GA
National Provider Identifier
1851538573
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
NTP001036 Issued in GA
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Mrs. Karine Alleyne, R.PHNPI 1881390458
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
706654600AMedicaidGA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1068568Trinity Treatment Center Incorporate1221 Newberg Avenue, Macon, GA 31206Certificate of waiverMay 15, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.