Individual provider Active NPI

Donald Joseph Trigg, PA-C

  • Physician Assistant
  • Cannon Afb, NM
National Provider Identifier
1104071729
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11949 Issued in NC
Practice address
208 W Casablanca Ave
100
Cannon Afb, NM 88103-5009
Phone
(575) 784-7801
NPI assigned
Nov 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-11949 NC Primary
Physician Assistant 363A00000X 1090658 TX
Physician Assistant 363A00000X 011001970 VA

Addresses

Primary practice location

208 W Casablanca Ave
100
Cannon Afb, NM 88103-5009

Mailing address

4 Starlit CT
Pinehurst, NC 28374-9724
Phone (910) 587-0065

Other practice location 1

1100 Ace Dr
Alton, VA 24520-3646
Phone (434) 822-4201

Other practice location 2

300 Kelly Rd Ste B
Pinehurst, NC 28374-8276
Phone (910) 603-0044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230503000605 NC Practitioner - Physician Assistant 6608231329 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1090658TXMDPhysician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1104071729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 STARLIT CT",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749724",
            "telephone_number": "910-587-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W CASABLANCA AVE",
            "address_2": "100",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "881035009",
            "telephone_number": "575-784-7801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Ace Dr",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "VA",
            "postal_code": "245203646",
            "country_code": "US",
            "telephone_number": "434-822-4201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Kelly Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283748276",
            "country_code": "US",
            "telephone_number": "910-603-0044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIGG",
        "first_name": "DONALD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-24",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11949",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "1090658",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "011001970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cannon Afb, NM

Sources for this page

Verify at the official NPI Registry.