TRIAD MED SUPPORT LLC NPI 1275392227

NPI Information

  • NPI: 1275392227
  • Provider Name: TRIAD MED SUPPORT, LLC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Former Legal Business Name: TRIAD MED SOLUTIONS, LLC
  • CLIA Number: 11D2316255
  • Address: 122 S MAIN ST
    JONESBORO, GA
    ZIP 30236
  • Phone: (404) 480-9490

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NPI Details

TRIAD MED SUPPORT, LLC is an adult health nurse practitioner in Jonesboro, GA. TRIAD MED SUPPORT, LLC NPI is 1275392227. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Triad Med Solutions, Llc.

The provider's business location address is:

122 S MAIN ST
JONESBORO, GA
ZIP 30236-530
Phone: (404) 480-9490

The provider's authorized official is Bilinda Dawkins-francis .
The authorized official title is Ceo and has the following contact phone number (470) 580-1034.

The CLIA number assigned to this NPI record is 11D2316255 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2024 and was last updated on 11/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseNo
2163WN0300XRegistered NurseNephrologyNo
3251J00000XNursing CareNo
4253Z00000XIn Home Supportive CareNo
5363LA2200XNurse PractitionerAdult HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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