Individual provider Active NPI

Elizabeth A. Trest, D.O.

  • Obstetrics & Gynecology Physician
  • Meridian, MS
National Provider Identifier
1780784496
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
14713 Issued in MS
Practice address
2401 16TH St
Meridian, MS 39301-3950
Phone
(601) 482-4181
Fax
(601) 482-4017
NPI assigned
Sep 23, 2006
Last updated
Aug 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 14713 MS Primary

Addresses

Primary practice location

2401 16TH St
Meridian, MS 39301-3950

Mailing address

1020 22ND Avenue
Suite B
Meridian, MS 39301
Phone (601) 703-1003

Other identifiers 1

IdentifierTypeStateIssuer
00117979MedicaidMS

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
I20080402000384 MS Practitioner - Obstetrics/Gynecology 6103903083 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Mississippi PCGroup PAC ID 7416120407, 29 clinicians

Practice addresses (Care Compare)

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (800) 967-2289

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Regional Medical Center CurrentSince Nov 15, 2022 Accepting new patients
Obhg Mississippi, P.C. Obstetrics & Gynecology CurrentSince Oct 4, 2019 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Dec 8, 2020 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Dec 8, 2020 Accepting new patients
Haven Pregnancy Wellness & Women's Health, LLC Obstetrics & Gynecology CurrentSince Jan 22, 2024 Accepting new patients
Medical Foundation, Inc. Obstetrics & Gynecology CurrentSince Nov 29, 2022 Accepting new patients
Medical Foundation, Inc. CurrentSince Nov 29, 2022 Accepting new patients
Vicksburg Women's Care, Inc Obstetrics & Gynecology Past Accepting new patients
Mississippi Baptist Medical Center, Inc. Past Accepting new patients
Rush Medical Foundation Past Accepting new patients
River Oaks Management Company LLC Obstetrics & Gynecology Past Accepting new patients

Locations

965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

1221 24th Ave
Meridian, MS 39301
Phone (601) 482-1002

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

1800 12th St
Meridian, MS 39301
Phone (601) 483-0011

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

302 Highland Park Cv
Ste B
Ridgeland, MS 39157
Phone (601) 255-8258

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

Interoperability endpoints

  • Direct secure messaging: etrest354951@direct.bmhcc.org
  • Direct secure messaging: etrest5327314@direct.casso.us.com
  • FHIR API: https://api.platform.athenahealth.com/1673/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 12

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 1

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1780784496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 22ND AVENUE",
            "address_2": "SUITE B",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39301",
            "telephone_number": "601-703-1003",
            "fax_number": "601-703-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 16TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013950",
            "telephone_number": "601-482-4181",
            "fax_number": "601-482-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREST",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "14713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117979",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.