Active NPI
Center for Vein Restoration TN PLLC
- Vascular Surgery Physician
- Chattanooga, TN
National Provider Identifier
1215548375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- CENTER FOR VEIN RESTORATION TN PLLC
- Practice address
- 1405 Cowart St Ste 321
Chattanooga, TN 37408-1179 - Phone
- (855) 830-8346
- Fax
- (240) 473-4321
- NPI assigned
- Aug 12, 2020
- 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
- Khanh Q Nguyen, DO
- Title
- President
- Phone
- (855) 830-8346
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
1405 Cowart St Ste 321
Chattanooga, TN 37408-1179
Mailing address
7474 Greenway Center Dr Ste 100
Greenbelt, MD 20770-3567
Phone (855) 830-8346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6005 Park Ave
Ste 225B
Memphis, TN 38119
Phone (901) 767-4520
Practitioners & affiliated clinicians
Practitioners 1
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": "1597190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765756800000",
"number": "1215548375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR STE 100",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703567",
"telephone_number": "855-830-8346",
"fax_number": "240-473-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 COWART ST STE 321",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374081179",
"telephone_number": "855-830-8346",
"fax_number": "240-473-4321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR VEIN RESTORATION TN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-12",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "KHANH",
"authorized_official_middle_name": "Q",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "855-830-8346",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Allison Anne Center, OTD, OTR/L
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- Centerwell Certified Healthcare Corp.
- Ceob Medical Consulting, LLC
- Madelyn G Chadwell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.