VCP Nashville, LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

43956 Issued in TN

Legal business name

VCP NASHVILLE, LLC

Doing business as

Vein Care Pavilion of Nashville

Practice address

278 Franklin Rd
Brentwood, TN 37027-5224

Phone

(615) 329-0029

Fax

(615) 327-8524

NPI assigned

Oct 9, 2008

Organization subpart

Yes

Parent organization

VCP NASHVILLE, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Keith L Davis, M.D.

Title

Partner

Phone

(706) 854-3333

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Vein Care Pavilion of Nashville Doing business as

Part of

VCP Nashville LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• VCP Nashville, LLC

  • Vascular Surgery Physician
  • Nashville, TN
  • NPI 1720255532
  NPPES parent name

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1467603399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 N BELAIR RD",
            "address_2": "SUITE 103",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093090",
            "telephone_number": "706-854-3333",
            "fax_number": "706-854-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 FRANKLIN RD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275224",
            "telephone_number": "615-329-0029",
            "fax_number": "615-327-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCP NASHVILLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VCP NASHVILLE, LLC",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "706-854-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "21108",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "26844",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "43956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "3370314",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vein Care Pavilion of Nashville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jyothi Kotian Vasantha, DDS
• Richard Vatt, DO
• Tanna S Vaughan, ARNP, FNP-C
• Ashley Anne Marie Vaughn
• Deborah D Vaughn, MA, LPC/MHSP
• Mario Velez, M.D.
• Eileen Veloz Valerio
• Francisco Vera Perez
• Christian Matthew Verdecchia
• Caitlyn Vernillo

• Vascular Surgery Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Vascular Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.