Tennessee Vein Specialists, PLLC

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

Legal business name

TENNESSEE VEIN SPECIALISTS, PLLC

Practice address

1344 Dowell Springs Blvd
Knoxville, TN 37909-2453

Phone

(865) 686-0507

NPI assigned

Apr 9, 2021

Organization subpart

No

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

Authorized official

Name

Brittany N Clayton, MDNPI 1225329790

Title

Owner

Phone

(865) 604-1325

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brittany Nicole Clayton, M.D.

  • Phlebology Physician
  • Knoxville, TN
  • NPI 1225329790
  Medicare reassignment Care Compare group NPD Authorized official
• Andrea Elizabeth Kooch, PA-C

  • Physician Assistant
  • Knoxville, TN
  • NPI 1275174013
  Medicare reassignment Care Compare group
• Andrew Martin Douglass, M.D.

  • Specialist
  • Knoxville, TN
  • NPI 1023099736

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1013597426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 DOWELL SPRINGS BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092453",
            "telephone_number": "865-686-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 DOWELL SPRINGS BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092453",
            "telephone_number": "865-686-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE VEIN SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-604-1325",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clifton Raymond Tennison Jr., MD
• Chlin Renee Tennyson-Yemm
• Erin Lynn Tepaske

• Phlebology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Phlebology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.