Organization Active NPI

Trinity Family Healthcare, LLC

  • Family Nurse Practitioner
  • Aberdeen, MS
National Provider Identifier
1265115646
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TRINITY FAMILY HEALTHCARE, LLC
Practice address
114 N Hickory St Ste C
Aberdeen, MS 39730-2648
Phone
(662) 813-5051
Fax
(833) 428-4727
NPI assigned
Aug 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Thelma Cox-Shelton, FNP-BCNPI 1700458122
Title
Owner
Phone
(662) 304-6312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

114 N Hickory St Ste C
Aberdeen, MS 39730-2648

Mailing address

114 N Hickory St Ste C
Aberdeen, MS 39730-2648
Phone (662) 304-6312

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240408001153 MS Part B Supplier - Clinic/Group Practice 0143668343 Receives reassigned benefits from 1 practitioner
Practice locations: Aberdeen, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2289376Trinity Family Healthcare, LLC114 N Hickory St, Suite B, Aberdeen, MS 39730Certificate of waiverSep 10, 2027

National Provider Directory

National Provider Directory

Locations

114 N Hickory St
Ste B
Aberdeen, MS 39730

114 N Hickory St
Ste C
Aberdeen, MS 39730
Phone (662) 304-6312

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1265115646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N HICKORY ST STE C",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397302648",
            "telephone_number": "662-304-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N HICKORY ST STE C",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397302648",
            "telephone_number": "662-813-5051",
            "fax_number": "833-428-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY FAMILY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "COX-SHELTON",
        "authorized_official_first_name": "THELMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-304-6312",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.