Active NPI
Donald Joseph Trigg, PA-C
- Physician Assistant
- Cannon Afb, NM
National Provider Identifier
1104071729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-11949
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1090658 | TX | MD | Physician 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.