NPIMap

Organization Active NPI

Vip Midsouth, LLC

Doing business as VIP Children's Clinic - Pleasant View

  • Rural Health Clinic/Center
  • Pleasant View, TN
National Provider Identifier
1336722669
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
VIP MIDSOUTH, LLC
Doing business as
VIP Children's Clinic - Pleasant View
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
Last updated
Mar 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

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

Specialties & licenses 1

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

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 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336722669. Details of each certification follow.

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
LLCProprietary
Incorporated
Jul 1, 1998 in TN
Enrollment address
6517 Highway 41a
Ste 100
Pleasant View, TN 37146-8135

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Vip Children's Clinic - Lafayette3 organizations share this tax ID, including this one

Other organizations with this 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.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

103 Redbud Dr
Portland, TN 37148
Phone (615) 323-1640

Ownership & related parties

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 OfficerSecretary Jun 8, 2017
Alyson Wills Individual Corporate DirectorBoard Member Jul 1, 2013
Marlon L Shell Individual Corporate DirectorBoard Member Jul 1, 2012
Suzanne Elizabeth Spicer Individual Corporate DirectorBoard Member Jul 17, 2017
Victoria R Rundus Individual Corporate DirectorBoard Member Apr 1, 2006
Megan N Tackett Individual Corporate DirectorBoard Member Apr 28, 2017
Catherine O Wiggleton Individual Corporate DirectorBoard Member Jul 1, 2014
Jennifer S Ashworth Individual Corporate DirectorBoard Member Jul 1, 2002
Anjeli K Wilson Individual Corporate DirectorBoard Member Jul 1, 2012
Denise F Stuart Individual Corporate DirectorBoard Member Jan 1, 2009
Jane Freedman Individual Contracted Managing EmployeeChief Health Systems Officer Jul 1, 2025
Erika Crawford Individual Corporate DirectorBoard 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 OfficerAssociate 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 DirectorBoard Member Sep 1, 2012
Jo Cook Collins Individual 5% Or Greater Direct Ownership InterestBoard Member Jul 1, 2002
Margaret Rush Individual Corporate DirectorBoard 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 DirectorBoard Member Jul 1, 2010
Saagar Karlekar Individual Corporate DirectorBoard Member Jul 1, 2009
Jessica Miller Individual Corporate DirectorBoard Member Sep 1, 2020
Jason L Kastner Individual Corporate OfficerVice President Jul 1, 2004
Corporate DirectorBoard Member Jul 1, 2004

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

Facilities with the same owner 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 39

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 39

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.