Trident Medical Care Group LLC
NPI 1629904461ActiveOrganization· Family Medicine· Russellville, AR
Family Medicine in Russellville, Arkansas, registered in NPPES in June 2026. The authorized official on file is Kacey Seal, Manager.
Overview
| NPI | 1629904461 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 19, 2026 |
| Last updated in NPPES | Jun 19, 2026 |
| Certified by provider | Jun 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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