Active NPI
VCP Memphis, LLC
Doing business as Vein Guys
- Vascular Surgery Physician
- Evans, GA
National Provider Identifier
1194079962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.