OrganizationActive
Trident Medical Group
NPI 1124854922 · Managed Care Organization Pharmacy · Atlanta, GA
Trident Medical Group is a Managed Care Organization Pharmacy organization in Atlanta, GA (NPI 1124854922).
Provider details
- NPI number
- 1124854922
- Entity type
- Organization
- Primary specialty
- Managed Care Organization PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kathryn Duphily, Operations Manager(678) 997-9895
Specialties & taxonomies
Suppliers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
888 Oakdale Rd Ne
Atlanta, GA 30307-1210
Phone: (678) 997-9895
Street-level locationGet directions
Mailing address
888 Oakdale Rd Ne
Atlanta, GA 30307-1210
Registry dates
- Enumerated
- 2024-09-10
- Last updated
- 2024-09-10
- Certified
- 2024-09-10
Frequently asked questions
- What is Trident Medical Group's NPI number?
- Trident Medical Group's National Provider Identifier (NPI) is 1124854922, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Trident Medical Group?
- Trident Medical Group is classified in the NPPES registry as Managed Care Organization Pharmacy (Suppliers).
- Where is Trident Medical Group located?
- Trident Medical Group's practice location on file with NPPES is 888 Oakdale Rd Ne, Atlanta, GA 30307-1210.
- What is Trident Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Trident Medical Group is (678) 997-9895.
- Who is the authorized official for Trident Medical Group?
- The authorized official listed on Trident Medical Group's NPPES record is Kathryn Duphily, Operations Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Trident Medical Group's NPI active?
- Yes — Trident Medical Group's NPI (1124854922) is active in the NPPES registry as of the last update on 2024-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.