Individual provider Active NPI

Jennifer G Trihoulis, MD

  • Psychiatry Physician
  • Columbia, MS
National Provider Identifier
1699891705
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
19631 Issued in MS
Practice address
1113 Highway 98 Byp Ste B
Columbia, MS 39429-3746
Phone
(601) 336-2220
Fax
(601) 336-2221
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 19631 MS Primary

Addresses

Primary practice location

1113 Highway 98 Byp Ste B
Columbia, MS 39429-3746

Mailing address

5266 Old Highway 11 Ste 70-309
Hattiesburg, MS 39402-7817
Phone (601) 336-2220

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
I20070702000276 MS Practitioner - Psychiatry 9335248426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Mississippi School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covington County HospitalGroup PAC ID 4183517253, 44 clinicians

Practice addresses (Care Compare)

1207 S Fir Ave
Collins, MS 39428-3809
Phone (601) 698-0263

Hospital & facility affiliations

  • Covington County Hospital Cah Hospital, Collins, MS, CCN 251325
  • Marion General Hospital Hospital, Columbia, MS, CCN 250085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19631MSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covington County Hospital Current Accepting new patients
Covington County Hospital CurrentSince Apr 1, 2023 Accepting new patients
Behavioral Consultant Solutions, LLC CurrentSince May 1, 2024 Accepting new patients
Covington County Hospital CurrentSince Apr 1, 2023 Accepting new patients
South Mississippi Health Service, Inc Psychiatry Past Accepting new patients
Conx Care Corporation Past Accepting new patients
Jennifer Trihoulis MD, LLC Psychiatry Past Accepting new patients

Locations

1207 S Fir Ave
Collins, MS 39428
Phone (601) 419-7468

105 N Front St
Richton, MS 39476
Phone (601) 788-2599

4 Erlene Watts Rd
Richton, MS 39476

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/covingc-3983785e

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1699891705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5266 OLD HIGHWAY 11 STE 70-309",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027817",
            "telephone_number": "601-336-2220",
            "fax_number": "601-336-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 HIGHWAY 98 BYP STE B",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394293746",
            "telephone_number": "601-336-2220",
            "fax_number": "601-336-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIHOULIS",
        "first_name": "JENNIFER",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "19631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MS

Sources for this page

Verify at the official NPI Registry.