Active NPI
Trent Thomas
- Peer Specialist
- Greensboro, NC
National Provider Identifier
1811358864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 2018-5019-01
- Practice address
- 1607 Martin Luther King Jr Dr
Greensboro, NC 27406-2423 - Phone
- (336) 965-7186
- Fax
- (888) 821-5068
- NPI assigned
- Mar 17, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Chore Provider | 372500000X | 430176 | NC | |
| Peer Specialist | 175T00000X | 2018-5019-01 | NC | Primary |
Addresses
Primary practice location
1607 Martin Luther King Jr Dr
Greensboro, NC 27406-2423
Mailing address
PO Box 36266
Greensboro, NC 27416-6266
Phone (336) 965-7186
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2018-5019-01 | Other | NC | NCCPSS |
| 246915141O | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-5019-01 | NC | MD | Peer Specialist |
| 430176 | NC | MD | Chore Provider |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transnet Home Group;LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
dba Transnet home group mlk facility
- Mental Illness Community Based Residential Treatment Facility
- Greensboro, NC
- NPI 1568815264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1811358864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36266",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274166266",
"telephone_number": "336-965-7186",
"fax_number": "888-821-5068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 MARTIN LUTHER KING JR DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274062423",
"telephone_number": "336-965-7186",
"fax_number": "888-821-5068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "TRENT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-17",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NC",
"license": "430176",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NC",
"license": "2018-5019-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPSS",
"identifier": "2018-5019-01",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "246915141O",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.