Southern Vascular and Pain Surgery Center Olive Branch LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOUTHERN VASCULAR AND PAIN SURGERY CENTER OLIVE BRANCH LLC

Practice address

8990 Germantown Rd Ste a
Olive Branch, MS 38654-8532

Phone

(901) 350-0678

NPI assigned

Jun 12, 2025

Last updated

Dec 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Hodgkiss, MDNPI 1568494631

Title

MD/Owner

Phone

(901) 350-0978

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Thomas D Hodgkiss, MD

  • Diagnostic Radiology Physician
  • Memphis, TN
  • NPI 1568494631
  NPD (past) Authorized official

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1063307650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 DENT RD",
            "city": "EADS",
            "state": "TN",
            "postal_code": "380289704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8990 GERMANTOWN RD STE A",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386548532",
            "telephone_number": "901-350-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN VASCULAR AND PAIN SURGERY CENTER OLIVE BRANCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "HODGKISS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "901-350-0978",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Smith, LCSW
• Marsheka Varcha Smith, RN
• Mary Elizabeth Smith, P-LPC, LAC
• Robin Powe Smith, PT,DPT
• Southern Pain and Regenerative Medicine PC
• Southland Wellness PLLC
• Spartan Orthopaedics, LLC (Champion Orthopaedics, LLC)
• Marecia Mreana Spearman
• Patrick L Spears
• Specialty Care Extended Hours Clinic LLC (Specialty Care Extended Hours Clinic)

• Ambulatory Surgical Clinic/Center in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Ambulatory Surgical Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.