Organization Active NPI

VCP Memphis, LLC

Doing business as Vein Guys

  • Vascular Surgery Physician
  • Evans, GA
National Provider Identifier
1194079962
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VCP MEMPHIS, LLC
Doing business as
Vein Guys
Practice address
4350 Towne Centre Dr
Ste 2000
Evans, GA 30809-3301
Phone
(706) 854-2138
Fax
(706) 396-0615
NPI assigned
Nov 1, 2012
Last updated
Nov 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Kelly B Vann
Title
Office Manager
Phone
(706) 854-2138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X TN Primary

Addresses

Primary practice location

4350 Towne Centre Dr
Ste 2000
Evans, GA 30809-3301

Mailing address

8000 Wolf River Blvd
Ste 102
Germantown, TN 38138-1754
Phone (706) 854-3333

Other names 1

  • Vein Guys Doing business as

National Provider Directory

National Provider Directory

Locations

8000 Wolf River Blvd
Germantown, TN 38138
Phone (706) 854-3333

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1194079962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 WOLF RIVER BLVD",
            "address_2": "STE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381754",
            "telephone_number": "706-854-3333",
            "fax_number": "706-396-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 TOWNE CENTRE DR",
            "address_2": "STE 2000",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093301",
            "telephone_number": "706-854-2138",
            "fax_number": "706-396-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCP MEMPHIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "VANN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-854-2138"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vein Guys",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.