MEDICARE: TRUST HEALTH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1780360651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUST HEALTH MD

Provider Business Mailing Address
First Line	:	1846 OLD NORCROSS ROAD
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30044
Country	:	US
Telephone Number	:	404-738-7878
Fax Number	:

Provider Business Practice Location Address
First Line	:	1846 OLD NORCROSS RD STE 100
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30044-8801
Country	:	US
Telephone Number	:	404-738-7878
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. WINSTON SAMUELS
Credential	:	MD
Telephone Number	:	305-975-1415

Provider Enumeration Date	:	06/26/2023
Last Update Date	:	04/10/2026

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Directions to “TRUST HEALTH MD ” Practice Location

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