TRM ENDOVASCULAR & WOUND CARE SERVICES LLC
NPI 1629800412
Radiology - Vascular & Interventional Radiology in Southaven, MS

Active since August 19, 2024CLIA 25D2310987 · Waiver
7900 AIRWAYS BLVD STE 6, SOUTHAVEN, MS 38671(662) 470-7554(269) 906-2006 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 3, 2025, Dec 13, 2024, Nov 19, 2024 and 1 more (4 updates tracked since 2024).

About Trm Endovascular & Wound Care Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRM ENDOVASCULAR & WOUND CARE SERVICES LLC (NPI 1629800412) is a healthcare organization registered as a vascular & interventional radiology in Southaven, Mississippi and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through September 12, 2028, maintains a secondary practice location in Memphis, and lists David Barham, President, as its authorized official.

NPPES Registry Identity

NPI1629800412
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameTRM ENDOVASCULAR & WOUND CARE SERVICES LLC
Location Address7900 AIRWAYS BLVD STE 6Southaven, MS 38671-4113
Mailing Address7900 Airways Blvd Ste 6Southaven, MS 38671-4113 · (662) 470-7554 · Fax (269) 906-2006
Fax(269) 906-2006
Organization SubpartNo
Authorized OfficialDavid BarhamPresident · (662) 470-7554
Enumeration DateAugust 19, 2024
Last NPPES UpdateNovember 3, 20254 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1629800412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
7900 AIRWAYS BLVD STE 6, Southaven, MS 38671

Secondary Practice Location 1

Location 12200 Union AveMemphis, TN 38104-4205 · Phone (662) 470-7554

Other Identifiers 1

Other26915MS · State License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trm Endovascular & Wound Care Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Trm Endovascular & Wound Care Services LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1548510761
7900 AIRWAYS BLVD BLDG A6
Southaven, MS 38671
(662) 470-7554
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760218630
7900 AIRWAYS BLVD STE 6
Southaven, MS 38671
(662) 470-7554
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1588767826
2200 UNION AVE
Memphis, TN 38104
(901) 726-1130
✔ PECOS11 mi
Nurse Practitioner
NPI 1841272580
4240 BETHEL RD STE 201
Olive Branch, MS 38654
(901) 763-0200
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1659086494
8088 ABINGTON WOODS AVE
Bartlett, TN 38002
(714) 822-9941
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1295403285
171 LAKEWOOD DR
Batesville, MS 38606
(662) 655-0311
✔ PECOS✔ Accepts Medicare46 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2310987

Trm Endovascular And Wound Care Services PLLC · Southaven, MS
Active · expires Sep 12, 2028
CLIA Number25D2310987
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 13, 2026
Certificate Expiration DateSeptember 12, 2028
Laboratory DirectorOmar R. Davis
Laboratory Phone(662) 470-7554
Laboratory LocationTrm Endovascular And Wound Care Services PLLC7900 Airways Blvd Suite 6, Southaven, MS 38671
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trm Endovascular & Wound Care Services LLC's NPI number?

The NPI number for Trm Endovascular & Wound Care Services LLC is 1629800412. It was assigned to this organization in the NPPES registry on August 19, 2024.

Where is Trm Endovascular & Wound Care Services LLC located?

Trm Endovascular & Wound Care Services LLC is located at 7900 Airways Blvd Ste 6, Southaven, MS 38671. The listed phone number is (662) 470-7554.

What is Trm Endovascular & Wound Care Services LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Trm Endovascular & Wound Care Services LLC enrolled in Medicare?

Yes. Trm Endovascular & Wound Care Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trm Endovascular & Wound Care Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Trm Endovascular & Wound Care Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5) and Internal Medicine (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Trm Endovascular & Wound Care Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2310987) is associated with this NPI, valid through September 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Trm Endovascular & Wound Care Services LLC accept?

Health plans from Molina Healthcare list Trm Endovascular & Wound Care Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Trm Endovascular & Wound Care Services LLC was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.