Organization Active NPI

Trustcare Kids, LLC

  • Pediatrics Physician
  • Brandon, MS
National Provider Identifier
1376321570
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TRUSTCARE KIDS, LLC
Practice address
1651 W Government CV
Brandon, MS 39042-2410
Phone
(601) 487-4340
Fax
(601) 487-4341
NPI assigned
Sep 19, 2023
Last updated
Sep 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Mr. Warren Herring
Title
Ceo
Phone
(601) 707-3279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

1651 W Government CV
Brandon, MS 39042-2410

Mailing address

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

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19538/brand/2/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1376321570",
    "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": "1651 W GOVERNMENT CV",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422410",
            "telephone_number": "601-487-4340",
            "fax_number": "601-487-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTCARE KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-707-3279",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.