Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Trinity Pediatric Medicine of Fayetteville

Organization Pediatrics Physician · NPI 1609247311

Trinity Pediatric Medicine of Fayetteville provides Pediatrics Physician services in Atlanta, Georgia. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

3695 Cascade Rd SW Ste V
Atlanta, GA 30331-2146 Not confirmed with CMS for 11 years — call before visiting
Phone: (404) 696-6595
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1609247311
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul McKoy — Cfo · (678) 517-8368
NPI enumeratedOctober 8, 2015
Last updated in NPPESOctober 8, 2015
Mailing address719 Lanier Ave W Ste A2, Fayetteville, GA 30214-7634

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