Active NPI
Carol Glenn Trent Jr., M.D.
- Orthopaedic Surgery Physician
- Clyde, NC
National Provider Identifier
1831169523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2015-02023
- Practice address
- 581 Leroy George Dr
Suite 380
Clyde, NC 28721-8084 - Phone
- (828) 452-8378
- Fax
- (828) 452-8326
- NPI assigned
- Jan 25, 2006
- Last updated
- Jan 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 38020 | TN | |
| Orthopaedic Surgery Physician | 207X00000X | 2015-02023 | NC | Primary |
Addresses
Primary practice location
581 Leroy George Dr
Suite 380
Clyde, NC 28721-8084
Mailing address
581 Leroy George Dr
Suite 380
Clyde, NC 28721-8084
Phone (828) 452-8378
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38020 | Other | TN | LICENSE |
| 2015-02023 | Other | NC | NC LICENSE |
| 1831169523 | Medicaid | VA | |
| 3889600 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Western Carolina Physician Practices LLC | Orthopaedic Surgery | Current | Accepting new patients |
| DLP Western Carolina Physician Practices LLC | Current | Accepting new patients | |
| Associated Orthopaedics of Kingsport PC | Orthopaedic Surgery | Past | Accepting new patients |
| Appalachian Orthopaedic Associates P C | Orthopaedic Surgery | Past | Accepting new patients |
Locations
581 Leroy George Dr
Ste 380
Clyde, NC 28721
Phone (828) 452-8378
98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1579
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Sylva, NC
- NPI 1609281641
Orthopaedic Surgery
-
- Diagnostic Radiology Physician
- Clyde, NC
- NPI 1932925062
-
- Orthopaedic Surgery Physician
- Kingsport, TN
- NPI 1669940078
-
- Orthopaedic Surgery Physician
- Norton, VA
- NPI 1013273937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1831169523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "581 LEROY GEORGE DR",
"address_2": "SUITE 380",
"city": "CLYDE",
"state": "NC",
"postal_code": "287218084",
"telephone_number": "828-452-8378",
"fax_number": "828-452-8326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "581 LEROY GEORGE DR",
"address_2": "SUITE 380",
"city": "CLYDE",
"state": "NC",
"postal_code": "287218084",
"telephone_number": "828-452-8378",
"fax_number": "828-452-8326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRENT",
"first_name": "CAROL",
"middle_name": "GLENN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "38020",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "2015-02023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "38020",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC LICENSE",
"identifier": "2015-02023",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831169523",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3889600",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
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- Transylvania Community Hospital, Inc.
- Tracey Howard Truesdale, PHARMD
- Jenny Leigh Van Winkle, M.D.
- Joseph David Varner, DO
- Tyler Bagley Vereen, M.D.
- Leonard Paul Verges, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.