NPIMap

Organization Active NPI

Legacy Vein Center PLLC

  • Durable Medical Equipment & Medical Supplies
  • Abingdon, VA
National Provider Identifier
1184299265
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LEGACY VEIN CENTER PLLC
Practice address
328 Cummings St Ste a
Abingdon, VA 24210-3245
Phone
(276) 477-4600
Fax
(423) 491-8109
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Ginger Reece
Title
Director of Operations
Phone
(423) 328-0163

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

328 Cummings St Ste a
Abingdon, VA 24210-3245

Mailing address

328 Cummings St Ste a
Abingdon, VA 24210-3245
Phone (276) 477-4600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1184299265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 CUMMINGS ST STE A",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242103245",
            "telephone_number": "276-477-4600",
            "fax_number": "423-491-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 CUMMINGS ST STE A",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242103245",
            "telephone_number": "276-477-4600",
            "fax_number": "423-491-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY VEIN CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "REECE",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "423-328-0163"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.