Individual provider Active NPI

Carol Glenn Trent Jr., M.D.

  • Orthopaedic Surgery Physician
  • Clyde, NC
National Provider Identifier
1831169523
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2015-02023 Issued in NC
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
38020OtherTNLICENSE
2015-02023OtherNCNC LICENSE
1831169523MedicaidVA
3889600MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160203002606 NC Practitioner - Orthopedic Surgery 0941106256 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Western Carolina Physician Practices LLC Orthopaedic Surgery CurrentSince Feb 1, 2016 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Feb 1, 2016 Accepting new patients
Associated Orthopaedics of Kingsport PC Orthopaedic Surgery Past Accepting new patients
Appalachian Orthopaedic Associates P C Orthopaedic Surgery PastSince Apr 1, 2009 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

  • FHIR API: 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.

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": []
}

Other providers in Clyde, NC

Sources for this page

Verify at the official NPI Registry.