NPIMap

Organization Active NPI

Trinity Pain Consultants, PLLC

  • Specialist
  • Flowood, MS
National Provider Identifier
1679844864
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
05337 Issued in MS
Legal business name
TRINITY PAIN CONSULTANTS, PLLC
Practice address
120 Stone Creek Blvd
Suite 500
Flowood, MS 39232-8205
Phone
(601) 420-2040
Fax
(601) 420-3683
NPI assigned
Jan 19, 2012
Last updated
May 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Rex Williams, MD
Title
Member
Phone
(601) 420-2040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 05337 MS Primary

Addresses

Primary practice location

120 Stone Creek Blvd
Suite 500
Flowood, MS 39232-8205

Mailing address

PO Box 320759
Flowood, MS 39232-0759
Phone (601) 420-2040

Other identifiers 1

IdentifierTypeStateIssuer
25D1042667OtherMSCLIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1679844864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320759",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392320759",
            "telephone_number": "601-420-2040",
            "fax_number": "601-420-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STONE CREEK BLVD",
            "address_2": "SUITE 500",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328205",
            "telephone_number": "601-420-2040",
            "fax_number": "601-420-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PAIN CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "601-420-2040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "05337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "25D1042667",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.