NPIMap

Organization Active NPI

Trinity Pain Clinic, P.a.

  • Pain Clinic/Center
  • Flowood, MS
National Provider Identifier
1710929310
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
TRINITY PAIN CLINIC, P.A.
Practice address
1307 Airport Rd N
Suite 2a
Flowood, MS 39232-8897
Phone
(601) 420-2040
Fax
(601) 420-2050
NPI assigned
Jun 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rachel Williamson
Title
Credentials Coordinator
Phone
(601) 898-7527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

1307 Airport Rd N
Suite 2a
Flowood, MS 39232-8897

Mailing address

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710929310",
    "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": "601-420-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 AIRPORT RD N",
            "address_2": "SUITE 2A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328897",
            "telephone_number": "601-420-2040",
            "fax_number": "601-420-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PAIN CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CREDENTIALS COORDINATOR",
        "authorized_official_telephone_number": "601-898-7527"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.