NPIMap

Vip Midsouth, LLC

Organization Active NPI Rural Health Clinic/Center · Pleasant View, TN

NPI 1336722669 · NPPES record last updated Mar 23, 2026

Key facts

NPI
1336722669
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
VIP MIDSOUTH, LLC
Practice address
6517 Highway 41a Ste 100
Pleasant View, TN 37146-8135
Phone
(615) 746-8333
Fax
(615) 452-7862
NPI assigned
May 4, 2021
Organization subpart
No

Authorized official

Name
Robert Nick Branham
Title
President
Phone
(615) 451-9246

Owners & managing parties with NPI records 31

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 31

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 41

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

View all 41

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Rural health clinic certification: CCN 883848

Legal name
VIP MIDSOUTH, LLC
Doing business as
VIP CHILDRENS CLINIC-PLEASANT VIEW
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 22, 2021
Last certification
Sep 22, 2021
Ownership / control type
1C
Organization structure
LLC · Proprietary
Incorporated
Jul 1, 1998 in TN
Enrollment address
6517 Highway 41a
Ste 100
Pleasant View, TN 37146-8135

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael D McConnell
Individual 		Corporate Officer
Secretary		 Jun 8, 2017
Alyson Wills
Individual 		Corporate Director
Board Member		 Jul 1, 2013
Marlon L Shell
Individual 		Corporate Director
Board Member		 Jul 1, 2012
Suzanne Elizabeth Spicer
Individual 		Corporate Director
Board Member		 Jul 17, 2017
Victoria R Rundus
Individual 		Corporate Director
Board Member		 Apr 1, 2006
Megan N Tackett
Individual 		Corporate Director
Board Member		 Apr 28, 2017
Catherine O Wiggleton
Individual 		Corporate Director
Board Member		 Jul 1, 2014
Jennifer S Ashworth
Individual 		Corporate Director
Board Member		 Jul 1, 2002
Anjeli K Wilson
Individual 		Corporate Director
Board Member		 Jul 1, 2012
Denise F Stuart
Individual 		Corporate Director
Board Member		 Jan 1, 2009
Jane Freedman
Individual 		Contracted Managing Employee
Chief Health Systems Officer		 Jul 1, 2025
Erika Crawford
Individual 		Corporate Director
Board Member		 Jul 1, 2012
Vanderbilt Health Services LLC
Organization · Nashville, TN
LLC, Non-profit 		Limited Partnership Interest Jul 1, 1998
Katie Lee Ford
Individual 		Corporate Director Jun 30, 2024
Nick Branham
Individual 		Corporate Officer
Associate Operating Officer		 Jul 1, 2021
Vanderbilt University Medical Center
Organization · Nashville, TN
Corporation, Non-profit, Chain home office 		5% Or Greater Direct Ownership Interest Apr 30, 2016 100%
Ben H Butler
Individual 		Corporate Director
Board Member		 Sep 1, 2012
Jo Cook Collins
Individual 		5% Or Greater Direct Ownership Interest
Board Member		 Jul 1, 2002
Margaret Rush
Individual 		Corporate Director
Board Member		 May 28, 2016
Vanderbilt Integrated Providers LLC
Organization · Nashville, TN
LLC, Non-profit 		Limited Partnership Interest Jul 1, 1998
Heather Renee Lehmann
Individual 		Corporate Director
Board Member		 Jul 1, 2010
Saagar Karlekar
Individual 		Corporate Director
Board Member		 Jul 1, 2009
Jessica Miller
Individual 		Corporate Director
Board Member		 Sep 1, 2020
Jason L Kastner
Individual 		Corporate Officer
Vice President		 Jul 1, 2004
Corporate Director
Board Member		 Jul 1, 2004

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210707000925 TN Part a Provider - Rural Health Clinic 1759272982 Practice locations: Pleasant View, TN

National Provider Directory

Tax ID family
Vip Children'S Clinic - Lafayette (3 organizations share this tax ID)

Locations

262 New Shackle Island Rd
Ste 203
Hendersonville, TN 37075
Phone (615) 824-1142

2536 Highway 49 E
Ste 110
Pleasant View, TN 37146
Phone (615) 746-1600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

6517 Highway 41a Ste 100
Pleasant View, TN 37146-8135

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other names

  • VIP Children's Clinic - Pleasant View Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 23, 2026.

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1336722669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 HIGHWAY 41A STE 100",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371468135",
            "telephone_number": "615-746-8333",
            "fax_number": "615-452-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP MIDSOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "BRANHAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-451-9246"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIP Children's Clinic - Pleasant View",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VIP Children's Clinic - Pleasant View",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant View, TN

All providers in Pleasant View, TN · Rural Health Clinic/Center in Tennessee

Sources for this page

Verify at the official NPI Registry.