Active NPI
Trinity Primary Care LLC
- Family Medicine Physician
- Blairsville, GA
National Provider Identifier
1912609504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2023
- 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
- Jaclyn Collins, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Young Harris, GA
- NPI 1124424536
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.