| Trustcare Primary Care, Llc | |
|
1067 Highland Colony Pkwy Ste G Ridgeland MS 39157-8834 | |
| (601) 707-3490 | |
| (601) 707-3491 |
| Full Name | Trustcare Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1067 Highland Colony Pkwy Ste G, Ridgeland, Mississippi |
| Authorized Official Name and Position | Warren T Herring (CEO) |
| Authorized Official Contact | 6017073279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trustcare Primary Care, Llc 1107 Highland Colony Pkwy Ste 219 Ridgeland MS 39157-6079 Ph: (601) 707-3279 | Trustcare Primary Care, Llc 1067 Highland Colony Pkwy Ste G Ridgeland MS 39157-8834 Ph: (601) 707-3490 |
| NPI Number | 1174078554 |
|---|---|
| Provider Enumeration Date | 08/16/2016 |
| Last Update Date | 09/19/2023 |
| Medicare PECOS PAC ID | 2961779129 |
|---|---|
| Medicare Enrollment ID | O20170519000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174078554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Karen W Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518113166 PECOS PAC ID: 3971661448 Enrollment ID: I20081028000359 |
| Provider Name | Joseph S Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467459149 PECOS PAC ID: 3072682095 Enrollment ID: I20100125000817 |
| Provider Name | Jenna K Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962777896 PECOS PAC ID: 2668634932 Enrollment ID: I20120502000552 |
| Provider Name | Kristi Trimm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609019165 PECOS PAC ID: 9335395367 Enrollment ID: I20131106001966 |
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