Organization Active NPI

Trinity Primary Care LLC

  • Family Medicine Physician
  • Blairsville, GA
National Provider Identifier
1912609504
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRINITY PRIMARY CARE LLC
Practice address
123 Weaver Rd Ste a
Blairsville, GA 30512-3155
Phone
(706) 970-4599
NPI assigned
Mar 20, 2023
Last updated
Mar 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Jaclyn Collins, NPNPI 1124424536
Title
Owner/NP
Phone
(706) 400-8675

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

123 Weaver Rd Ste a
Blairsville, GA 30512-3155

Mailing address

123 Weaver Rd Ste a
Blairsville, GA 30512-3155
Phone (706) 970-4599

National Provider Directory

National Provider Directory

Locations

123A Weaver Rd
Blairsville, GA 30512
Phone (706) 400-8675

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": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1912609504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WEAVER RD STE A",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123155",
            "telephone_number": "706-970-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WEAVER RD STE A",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123155",
            "telephone_number": "706-970-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-19",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "706-400-8675",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.