NPIMap

Organization Active NPI

Vascular and Vein Institute of the South, PLLC

  • Vascular Surgery Physician
  • Germantown, TN
National Provider Identifier
1275016941
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC
Practice address
1385 W Brierbrook Rd
Germantown, TN 38138-2208
Phone
(561) 312-1082
Fax
(800) 783-5123
NPI assigned
Sep 10, 2018
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Anton Dias Perera, MDNPI 1336313170
Title
Owner
Phone
(901) 390-2930

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)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

1385 W Brierbrook Rd
Germantown, TN 38138-2208

Mailing address

1375 W Brierbrook Rd
Germantown, TN 38138-2208
Phone (901) 390-2930

Other practice location 1

176 Goodman Rd W
Southaven, MS 38671-9405
Phone (901) 390-2930

Other practice location 2

306 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 390-2930

Other practice location 3

312 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 390-2930

Other practice location 4

705 N State St
Clarksdale, MS 38614-6519
Phone (901) 390-2930

Other practice location 5

1111 N Washington St
Forrest City, AR 72335-2150
Phone (901) 390-2930

Other practice location 6

1355 W Brierbrook Rd
Germantown, TN 38138-2208
Phone (901) 390-2930

Other practice location 7

405 River Rd
Greenwood, MS 38930-4212
Phone (901) 390-2930

Other practice location 8

1300 Sunset Dr Ste P
Grenada, MS 38901-4084
Phone (901) 390-2930

Other practice location 9

1750 Madison Ave, 3rd Floor
Suite 302
Memphis, TN 38104
Phone (901) 390-2930

Other practice location 10

1750 Madison Ave Ste 301
Memphis, TN 38104-6428
Phone (901) 390-2930

Other practice location 11

8081 US Highway 51 N
Millington, TN 38053-1730
Phone (901) 390-2930

Other practice location 12

2704 W Oxford Loop Ste 100
Oxford, MS 38655-5723
Phone (901) 390-2930

Other practice location 13

403 Getwell Dr
Senatobia, MS 38668-2213
Phone (901) 390-2930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR, MS3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20181210000856 TN Part B Supplier - Clinic/Group Practice 9739423336 Receives reassigned benefits from 13 practitioners
Practice locations: Millington, TN; Memphis, TN; Bartlett, TN; Germantown, TN; Jackson, TN
O20190325000452 AR Part B Supplier - Clinic/Group Practice 9739423336 Receives reassigned benefits from 8 practitioners
Practice locations: West Memphis, AR; Forrest City, AR; Blytheville, AR
O20190401000860 MS Part B Supplier - Clinic/Group Practice 9739423336 Receives reassigned benefits from 12 practitioners
Practice locations: Clarksdale, MS; Greenwood, MS; Grenada, MS; Oxford, MS; Senatobia, MS; Southaven, MS; Tupelo, MS

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2196775Vascular and Vein Institute of the South306 South Rhodes Street, West Memphis, AR 72301AccreditationJun 29, 2027
44D2160587Vascular & Vein Institute of the South1385 W Brierbrook Road, Germantown, TN 38138AccreditationJun 29, 2027

National Provider Directory

National Provider Directory

Locations

306 S Rhodes St
West Memphis, AR 72301

401 Graham St
West Memphis, AR 72301
Phone (870) 735-6500

705 N State St
Clarksdale, MS 38614
Phone (662) 621-2192

2704 West Oxford Loop
Ste 100
Oxford, MS 38655

1375 W Brierbrook Rd
Germantown, TN 38138

1750 Madison Ave
Fl 3
Memphis, TN 38104

1750 Madison Ave
Ste 301
Memphis, TN 38104

Interoperability endpoints

  • Direct secure messaging: andreawilliams@vvis.allscriptsdirect.net
  • Direct secure messaging: antondiasperera@vvis.allscriptsdirect.net
  • Direct secure messaging: danielalterman@vvis.allscriptsdirect.net
  • Direct secure messaging: gaborwinkler@vvis.allscriptsdirect.net
  • Direct secure messaging: jacquelinemajors@vvis.allscriptsdirect.net
  • Direct secure messaging: jenniferhurlow@vvis.allscriptsdirect.net
  • Direct secure messaging: jennifermckee@vvis.allscriptsdirect.net
  • Direct secure messaging: meganstewart@vvis.allscriptsdirect.net
  • Direct secure messaging: prateekgupta@vvis.allscriptsdirect.net
  • Direct secure messaging: ryainalexander@vvis.allscriptsdirect.net
  • Direct secure messaging: samanthaclark@vvis.allscriptsdirect.net
  • Direct secure messaging: samanthahamblin@vvis.allscriptsdirect.net
  • Direct secure messaging: shelbymcdonald@vvis.allscriptsdirect.net
  • Direct secure messaging: sitrayonis@vvis.allscriptsdirect.net
  • Direct secure messaging: stephenrohrer@vvis.allscriptsdirect.net
  • Direct secure messaging: timothyweatherall@vvis.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1275016941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 W BRIERBROOK RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382208",
            "telephone_number": "901-390-2930",
            "fax_number": "901-390-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 W BRIERBROOK RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382208",
            "telephone_number": "561-312-1082",
            "fax_number": "800-783-5123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Goodman Rd W",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386719405",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 S Rhodes St",
            "address_purpose": "LOCATION",
            "city": "West Memphis",
            "state": "AR",
            "postal_code": "723014215",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 S Rhodes St",
            "address_purpose": "LOCATION",
            "city": "West Memphis",
            "state": "AR",
            "postal_code": "723014215",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 N State St",
            "address_purpose": "LOCATION",
            "city": "Clarksdale",
            "state": "MS",
            "postal_code": "386146519",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Forrest City",
            "state": "AR",
            "postal_code": "723352150",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1355 W Brierbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381382208",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 River Rd",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "MS",
            "postal_code": "389304212",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Sunset Dr Ste P",
            "address_purpose": "LOCATION",
            "city": "Grenada",
            "state": "MS",
            "postal_code": "389014084",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 Madison Ave, 3rd Floor",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38104",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 Madison Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381046428",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8081 US Highway 51 N",
            "address_purpose": "LOCATION",
            "city": "Millington",
            "state": "TN",
            "postal_code": "380531730",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2704 W Oxford Loop Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555723",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 Getwell Dr",
            "address_purpose": "LOCATION",
            "city": "Senatobia",
            "state": "MS",
            "postal_code": "386682213",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "DIAS PERERA",
        "authorized_official_first_name": "ANTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-390-2930",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.