Organization Active NPI

Refine Vein Center PLLC

  • Phlebology Physician
  • Franklin, TN
National Provider Identifier
1023882495
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
Legal business name
REFINE VEIN CENTER PLLC
Practice address
4000 Longpoint Way Ste 440
Franklin, TN 37064-4340
Phone
(615) 716-8346
Fax
(615) 716-8356
NPI assigned
Nov 7, 2023
Last updated
Nov 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Dr. Jonathan Avery Reynolds, MDNPI 1003135328
Title
Owner
Phone
(813) 909-3425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X NU Primary

Addresses

Primary practice location

4000 Longpoint Way Ste 440
Franklin, TN 37064-4340

Mailing address

4000 Longpoint Way Ste 440
Franklin, TN 37064-4340
Phone (615) 716-8346

Other identifiers 1

IdentifierTypeStateIssuer
Q087953MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231121002181 TN Part B Supplier - Clinic/Group Practice 4082062641 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, TN

National Provider Directory

National Provider Directory

Locations

4000 Longpoint Way
Ste 440
Franklin, TN 37064
Phone (615) 716-8346

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1023882495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 LONGPOINT WAY STE 440",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370644340",
            "telephone_number": "615-716-8346",
            "fax_number": "615-716-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LONGPOINT WAY STE 440",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370644340",
            "telephone_number": "615-716-8346",
            "fax_number": "615-716-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFINE VEIN CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "AVERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-909-3425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q087953",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.