DR. TREVOR JAMES DONNELLY DO
NPI 1639019839
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Q: What is Trevor Donnelly's NPI number?

The NPI number for Trevor Donnelly is 1639019839. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Q: What is Trevor Donnelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Trevor Donnelly was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 30, 2026PECOS Enrolled

1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-1242 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Dr. Trevor James Donnelly Do NPPES

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

DR. TREVOR JAMES DONNELLY DO (NPI 1639019839) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639019839

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. TREVOR JAMES DONNELLYCredential: DO

Location Address1350 S KINGS DRCharlotte, NC 28207-2134

Mailing Address1350 S Kings DrCharlotte, NC 28207-2134 · (704) 446-1242

Phone(704) 446-1242

Sole ProprietorYes

Enumeration DateMarch 30, 2026

NPPES CertifiedMarch 30, 2026

✔ NPI 1639019839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1350 S KINGS DR, Charlotte, NC 28207

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Trevor James Donnelly Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINA JASMIN HARRELL MD

Pediatrics (Pediatric Hematology-Oncology)