Organization Active NPI

Trustcare Primary Care, LLC

  • Family Medicine Physician
  • Madison, MS
National Provider Identifier
1174078554
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRUSTCARE PRIMARY CARE, LLC
Practice address
1073 Highway 51 Ste 103
Madison, MS 39110-9085
Phone
(601) 707-3978
NPI assigned
Aug 16, 2016
Organization subpart
Yes
Parent organization
TRUSTCARE HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Heidi Ballard
Title
Cao
Phone
(601) 707-3279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1073 Highway 51 Ste 103
Madison, MS 39110-9085

Mailing address

1107 Highland Colony Pkwy Ste 219
Ridgeland, MS 39157-6079
Phone (601) 707-3279

Other names 1

  • TrustCare Health, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170519000093 MS Part B Supplier - Clinic/Group Practice 2961779129 Receives reassigned benefits from 5 practitioners
Practice locations: Madison, MS; Ridgeland, MS

National Provider Directory

National Provider Directory
Part of
Trustcare Health LLC

Locations

1073 Highway 51
Ste 103
Madison, MS 39110
Phone (601) 707-3978

1067 Highland Colony Pkwy
Ste G
Ridgeland, MS 39157
Phone (601) 707-3490

1067 Highland Colony Pkwy
Ridgeland, MS 39157
Phone (601) 707-3490

Practitioners & affiliated clinicians

Practitioners 140

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

View all 140

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1174078554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HIGHLAND COLONY PKWY STE 219",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576079",
            "telephone_number": "601-707-3279",
            "fax_number": "601-707-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 HIGHWAY 51 STE 103",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109085",
            "telephone_number": "601-707-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTCARE PRIMARY CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRUSTCARE HEALTH, LLC",
        "enumeration_date": "2016-08-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "601-707-3279"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TrustCare Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.