Trinity Development, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

U1601 Issued in AL

Legal business name

TRINITY DEVELOPMENT, LLC

Doing business as

South Alabama Outpatient Services

Practice address

201 E Watts St
Enterprise, AL 36330-1812

Phone

(334) 393-5474

Fax

(334) 393-7433

NPI assigned

Aug 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Ashley A Walden

Title

Business Office Manager

Phone

(334) 393-5474

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• SOUTH ALABAMA OUTPATIENT SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Listed as

South Alabama Outpatient ServicesCCN 01C0001037

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Arris Jebeles, M.D.

  • Otolaryngology Physician
  • Birmingham, AL
  • NPI 1306888326
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1013924133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E WATTS ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301812",
            "telephone_number": "334-393-5474",
            "fax_number": "334-393-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E WATTS ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301812",
            "telephone_number": "334-393-5474",
            "fax_number": "334-393-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "334-393-5474",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AL",
            "license": "U1601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NO",
            "identifier": "7523305",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASC0064C",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL PROVIDER NO",
            "identifier": "012237",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH ALABAMA OUTPATIENT SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brantley Trawick, RBT
• Rebekah Traylor
• Tri-County Psychiatric Services, LLC
• Triad of Alabama LLC (Breathing Care - Enterprise Home Health)
• Allison Nicole Trimm
• Dallas Turner, LPTA
• Penny Helms Turner, DPT
• William Nicholas Turner, DMD
• Turning-Point Counseling Services, LLC
• TW Orthodontics LLC

• Ambulatory Surgical Clinic/Center in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Ambulatory Surgical Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.