Healthcare Provider Details

I. General information

NPI: 1467380402
Provider Name (Legal Business Name): TRUSTCARE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 HIGHLAND COLONY PKWY STE 219
RIDGELAND MS
39157-6079
US

IV. Provider business mailing address

1107 HIGHLAND COLONY PKWY STE 219
RIDGELAND MS
39157-6079
US

V. Phone/Fax

Practice location:
  • Phone: 601-707-3279
  • Fax:
Mailing address:
  • Phone: 601-707-3279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KELLY SPELL
Title or Position: REVENUE CYCLE MANAGER
Credential:
Phone: 601-622-0877