Individual provider Active NPI

Kristi Kay Trimm, D.O.

  • Family Medicine Physician
  • Ridgeland, MS
National Provider Identifier
1609019165
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22530 Issued in MS
Practice address
1051 Highland Colony Pkwy Ste E
Ridgeland, MS 39157-7701
Phone
(601) 707-3737
NPI assigned
Apr 14, 2009
Last updated
Mar 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22530 MS Primary

Addresses

Primary practice location

1051 Highland Colony Pkwy Ste E
Ridgeland, MS 39157-7701

Mailing address

1107 Highland Colony Pkwy Ste 219
Ridgeland, MS 39157-6079
Phone (601) 707-3370

Other practice location 1

1067 Highland Colony Pkwy Ste G
Ridgeland, MS 39157-8834
Phone (601) 707-3490

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
I20131106001966 MS Practitioner - Family Practice 9335395367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Physicians and Surgeons, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trustcare Health, LLCGroup PAC ID 0547427858, 40 clinicians
Trustcare Primary Care, LLCGroup PAC ID 2961779129, 2 clinicians

Practice addresses (Care Compare)

1051 Highland Colony Pkwy
Suite E
Ridgeland, MS 39157-7701
Phone (601) 707-3737

1067 Highland Colony Pkwy
Suite G
Ridgeland, MS 39157-8834
Phone (601) 707-3978

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22530MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trustcare Health, LLC Family Medicine CurrentSince Jan 23, 2023 Accepting new patients
St. Dominic Jackson Memorial Past Accepting new patients
Family Care of E. Jackson County LLC Family Medicine Past Accepting new patients

Locations

1645 W Government Cv
Unit F
Brandon, MS 39042

601 Highway 80 E
Clinton, MS 39056
Phone (601) 708-1480

1710 Old Fannin Rd
Flowood, MS 39232
Phone (601) 487-9191

6176 U S Highway 98
Hattiesburg, MS 39402
Phone (601) 475-0444

4880 I 55 Frontage Rd N
Jackson, MS 39211
Phone (601) 467-9199

1073 Highway 51
Madison, MS 39110
Phone (601) 605-0402

1073 Highway 51
Ste 103
Madison, MS 39110
Phone (601) 707-3978

1073 Highway 51
Ste 105
Madison, MS 39110
Phone (601) 203-1570

1051 Highland Colony Pkwy
Ste E
Ridgeland, MS 39157
Phone (601) 707-3737

1067 Highland Colony Pkwy
Ridgeland, MS 39157
Phone (601) 707-3490

1067 Highland Colony Pkwy
Ste G
Ridgeland, MS 39157
Phone (601) 707-3490

1107 Highland Colony Pkwy
Ste 219
Ridgeland, MS 39157
Phone (601) 499-0651

786 Lake Harbour Dr
Ridgeland, MS 39157
Phone (601) 499-0022

Interoperability endpoints

  • Direct secure messaging: kristi.trimm.1@19538.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1609019165",
    "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": "601-707-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 HIGHLAND COLONY PKWY STE E",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391577701",
            "telephone_number": "601-707-3737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1067 Highland Colony Pkwy Ste G",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391578834",
            "country_code": "US",
            "telephone_number": "601-707-3490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIMM",
        "first_name": "KRISTI",
        "middle_name": "KAY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "22530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.