Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Trident Medical Group PA

Organization Internal Medicine Physician · NPI 1699435081

Trident Medical Group PA is an Internal Medicine Physician in Atlanta, Georgia. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3372 Peachtree Rd Ste 115
Atlanta, GA 30326
Phone: (855) 770-7771
Fax: (415) 808-6405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Podiatrist Taxonomy 213E00000X
Public Medicine Podiatrist Taxonomy 213EP0504X

Record details

NPI number1699435081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Devion Smith — Director, Payer Contracting · (424) 326-8711
NPI enumeratedDecember 27, 2021
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022
Mailing address382 Ne 191st St, Pmb 75481, Miami, FL 33179-3899

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