Trident Primary Care & Wellness Clinic LLC
NPI 1760262463 · Family Medicine Physician · Roswell, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Trident Primary Care & Wellness Clinic LLC is a Family Medicine Physician organization in Roswell, GA (NPI 1760262463).
Provider details
- NPI number
- 1760262463
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roderick Malone, Managing Member(678) 478-8077
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs 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
Mailing address
Registry dates
- Enumerated
- 2023-10-02
- Last updated
- 2024-02-07
- Certified
- 2024-02-07
Frequently asked questions
- What is Trident Primary Care & Wellness Clinic LLC's NPI number?
- Trident Primary Care & Wellness Clinic LLC's National Provider Identifier (NPI) is 1760262463, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Trident Primary Care & Wellness Clinic LLC?
- Trident Primary Care & Wellness Clinic LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Trident Primary Care & Wellness Clinic LLC located?
- Trident Primary Care & Wellness Clinic LLC's practice location on file with NPPES is 875 Old Roswell Rd, Roswell, GA 30076-1659.
- What is Trident Primary Care & Wellness Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Trident Primary Care & Wellness Clinic LLC is (678) 731-7000.
- Does Trident Primary Care & Wellness Clinic LLC accept Medicare?
- Trident Primary Care & Wellness Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Trident Primary Care & Wellness Clinic LLC?
- The authorized official listed on Trident Primary Care & Wellness Clinic LLC's NPPES record is Roderick Malone, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Trident Primary Care & Wellness Clinic LLC's NPI active?
- Yes — Trident Primary Care & Wellness Clinic LLC's NPI (1760262463) is active in the NPPES registry as of the last update on 2024-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.