Active NPI
TRM Endovascular & Wound Care Services LLC
- Vascular & Interventional Radiology Physician
- Southaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- TRM ENDOVASCULAR & WOUND CARE SERVICES LLC
- Practice address
- 7900 Airways Blvd Ste 6
Southaven, MS 38671-4113 - Phone
- (662) 470-7554
- Fax
- (269) 906-2006
- NPI assigned
- Aug 19, 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
- David Barham
- Title
- President
- Phone
- (662) 470-7554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary |
Addresses
Primary practice location
7900 Airways Blvd Ste 6
Southaven, MS 38671-4113
Mailing address
7900 Airways Blvd Ste 6
Southaven, MS 38671-4113
Phone (662) 470-7554
Other practice location 1
2200 Union Ave
Memphis, TN 38104-4205
Phone (662) 470-7554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26915 | Other | MS | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
Enrollment records 2
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 |
|---|---|---|---|
| 25D2310987 | TRM Endovascular and Wound Care Services PLLC | Certificate of waiver | Sep 12, 2026 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
7900 Airways Blvd
Ste 6
Southaven, MS 38671
Phone (662) 470-7554
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Olive Branch, MS
- NPI 1841272580
-
- Family Nurse Practitioner
- Southaven, MS
- NPI 1548510761
-
- Family Nurse Practitioner
- Batesville, MS
- NPI 1295403285
-
- Vascular & Interventional Radiology Physician
- Lake Worth, FL
- NPI 1760430029
MS
-
- Acute Care Nurse Practitioner
- Bartlett, TN
- NPI 1659086494
-
- Nurse Practitioner
- Holly Springs, MS
- NPI 1437230679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762128000000",
"number": "1629800412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 AIRWAYS BLVD STE 6",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386714113",
"telephone_number": "662-470-7554",
"fax_number": "269-906-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 AIRWAYS BLVD STE 6",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386714113",
"telephone_number": "662-470-7554",
"fax_number": "269-906-2006"
}
],
"practiceLocations": [
{
"address_1": "2200 Union Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381044205",
"country_code": "US",
"telephone_number": "662-470-7554",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TRM ENDOVASCULAR & WOUND CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-19",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A",
"authorized_official_last_name": "BARHAM",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "662-470-7554"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "26915",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.