Individual provider Active NPI

Derrick Drew Trump, D.O.

  • Emergency Medicine Physician
  • Hattiesburg, MS
National Provider Identifier
1396108007
Registry record updated Mar 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
T-3227 Issued in MS
Practice address
6051 U S Highway 49
Hattiesburg, MS 39401-7200
Phone
(601) 288-7000
NPI assigned
Mar 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MS26109 MS
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X T-3227 MS Primary

Addresses

Primary practice location

6051 U S Highway 49
Hattiesburg, MS 39401-7200

Mailing address

107 Monarch Blvd
Hattiesburg, MS 39402-7203
Phone (304) 575-1268

Other practice location 1

215 Marion Ave
McComb, MS 39648-2705
Phone (601) 249-5500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180926001652 MS Practitioner - Osteopathic Manipulative MedicinePractitioner - Emergency Medicine 1052661006 Reassigns benefits to 17 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relias Emergency Medicine Specialists of Hattiesburg LLCGroup PAC ID 9032549142, 46 clinicians

Practice addresses (Care Compare)

215 Marion Ave
McComb, MS 39648-2705
Phone (601) 249-5500

6051 U S Hwy 49
Hattiesburg, MS 39401-7200
Phone (601) 288-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MS26109MSMDEmergency Medicine Physician
T-3227MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Relias Emergency Medicine Specialists of Hattiesburg LLC Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
South Central Clinics, Inc CurrentSince Sep 21, 2020 Accepting new patients
RH Emergency Medicine of Pearl River LLC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
RH Hospitalist Medicine of Jefferson Davis LLC CurrentSince May 11, 2024 Accepting new patients
Southwest Mississippi Regional Medical Center Current Accepting new patients
App of Mississippi Ed, LLC Emergency Medicine CurrentSince May 17, 2020 Accepting new patients
Hattiesburg HB Medical Services LLC Emergency Medicine CurrentSince Jul 20, 2023 Accepting new patients
South Central Clinics, Inc Family Medicine CurrentSince Sep 21, 2020 Accepting new patients
RH Emergency Medicine of Marion General LLC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
RH Emergency Medicine of Walthall General LLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
RH Emergency Medicine of Jefferson Davis LLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
RH Emergency Medicine of Perry County LLC Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince Aug 1, 2021 Accepting new patients
RH Emergency Medicine of Highland Community LLC Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Jackson HB Medical Services LLC Emergency Medicine CurrentSince Oct 14, 2023 Accepting new patients
Natchez HB Medical Services LLC Emergency Medicine CurrentSince Jul 19, 2023 Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince Aug 1, 2021 Accepting new patients
Relias Emergency Medicine Specialists of McComb, LLC Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
South Central Clinics, Inc Family Medicine Current Accepting new patients
RH Hospitalist Medicine of Walthall General LLC CurrentSince May 1, 2024 Accepting new patients
Southwest Mississippi Regional Medical Center Emergency Medicine Past Accepting new patients

Locations

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

1203 B Ave
Ellisville, MS 39437
Phone (601) 477-8553

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180

54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

305 W Moody St
Poplarville, MS 39470
Phone (601) 795-4345

1102 Rose St
Prentiss, MS 39474
Phone (601) 792-2947

206 Bay Ave
Richton, MS 39476
Phone (601) 788-6316

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 4

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1396108007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MONARCH BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027203",
            "telephone_number": "304-575-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 U S HIGHWAY 49",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017200",
            "telephone_number": "601-288-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Marion Ave",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396482705",
            "country_code": "US",
            "telephone_number": "601-249-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUMP",
        "first_name": "DERRICK",
        "middle_name": "DREW",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "MS26109",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "T-3227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.