Organization Active NPI

Trinity Emergency Medical Transportation Corporation

  • Land Ambulance
  • Jackson, MS
National Provider Identifier
1174360804
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TRINITY EMERGENCY MEDICAL TRANSPORTATION CORPORATION
Practice address
1880 Lakeland Dr
Jackson, MS 39216-4916
Phone
(601) 203-2153
NPI assigned
Jul 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Annetta Brooks
Title
Owner
Phone
(601) 559-6323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1880 Lakeland Dr
Jackson, MS 39216-4916

Mailing address

1880 Lakeland Dr
Jackson, MS 39216-4916
Phone (601) 203-2153

Other names 1

  • Trinity Medical Transportation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250610003603 MS Part B Supplier - Ambulance Service Supplier 5193235976 Practice locations: Jackson, MS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1174360804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164916",
            "telephone_number": "601-203-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164916",
            "telephone_number": "601-203-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY EMERGENCY MEDICAL TRANSPORTATION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "ANNETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-559-6323"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Medical Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.