Active NPI
Divinity Healthcare Inc
- Family Nurse Practitioner
- West Point, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- DIVINITY HEALTHCARE INC
- Practice address
- 99 Winchester Dr Unit K
West Point, MS 39773-2083 - Phone
- (662) 848-3656
- NPI assigned
- Oct 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Trinity Sharda Johnson, FNP
- Title
- Owner
- Phone
- (662) 848-3656
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
99 Winchester Dr Unit K
West Point, MS 39773-2083
Mailing address
99 Winchester Dr Unit K
West Point, MS 39773-2083
Phone (662) 848-3656
Other names 1
- DIVINITY HEALTHCARE INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2327159 | Divinity Healthcare Inc | Certificate of waiver | Jul 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
99 Winchester Dr
Unit K
West Point, MS 39773
Phone (662) 524-3707
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- West Point, MS
- NPI 1427785849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743984000000",
"number": "1396567301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 WINCHESTER DR UNIT K",
"city": "WEST POINT",
"state": "MS",
"postal_code": "397732083",
"telephone_number": "662-848-3656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 WINCHESTER DR UNIT K",
"city": "WEST POINT",
"state": "MS",
"postal_code": "397732083",
"telephone_number": "662-848-3656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINITY HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-30",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "TRINITY",
"authorized_official_middle_name": "SHARDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-848-3656",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DIVINITY HEALTHCARE INC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "DIVINITY HEALTHCARE INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Point, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.