Active NPI
Trent Woods, MD
- Emergency Medicine Physician
- Hattiesburg, MS
National Provider Identifier
1104852037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 16901
- Practice address
- 6051 Highway 49
Hattiesburg, MS 39401-7200 - Phone
- (601) 288-7000
- NPI assigned
- Jun 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 16901 | MS | Primary |
Addresses
Primary practice location
6051 Highway 49
Hattiesburg, MS 39401-7200
Mailing address
202 Sherwood Dr
Hattiesburg, MS 39402-3435
Phone (601) 288-2190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00122737 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090603000214 | MS | Practitioner - Emergency Medicine | 3476603044 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of California, Geffen School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Relias Emergency Medicine Specialists of Hattiesburg LLC
Practice addresses (Care Compare)
6051 U S Hwy 49
Hattiesburg, MS 39401-7200
Phone (601) 288-7000
Hospital & facility affiliations
- Forrest General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16901 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relias Emergency Medicine Specialists of Hattiesburg LLC | Emergency Medicine | Current | Accepting new patients |
| Memorial Hospital at Gulfport | Emergency Medicine | Past | Accepting new patients |
| Forrest County General Hospital | Past | Accepting new patients | |
| Lefleur Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| South Mississippi Emergency Physicians,PA | Past | Accepting new patients |
Locations
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Hattiesburg, MS
- NPI 1609409440
Emergency Medicine, MS
-
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1225041809
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1891985420
Emergency Medicine
-
- Emergency Medicine Physician
- Gulfport, MS
- NPI 1962780379
Emergency Medicine
-
- Family Medicine Physician
- Sumrall, MS
- NPI 1356531594
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104852037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 SHERWOOD DR",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394023435",
"telephone_number": "601-288-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6051 HIGHWAY 49",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017200",
"telephone_number": "601-288-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "TRENT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "16901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00122737",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- 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.