Active NPI
Mississippi Vein Institute
- Phlebology Physician
- Madison, MS
National Provider Identifier
1487800520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- Legal business name
- MISSISSIPPI VEIN INSTITUTE
- Practice address
- 111 Fountains Blvd
Madison, MS 39110-6344 - Phone
- (601) 707-7026
- Fax
- (601) 707-7054
- NPI assigned
- Aug 8, 2008
- 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
- Dr. John Michael Manning, M.D.
- Title
- President
- Phone
- (601) 927-8176
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | Primary | ||
| Anesthesiology Physician | 207L00000X |
Addresses
Primary practice location
111 Fountains Blvd
Madison, MS 39110-6344
Mailing address
111 Fountains Blvd
Madison, MS 39110-6344
Phone (601) 707-7026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081006000646 | MS | Part B Supplier - Clinic/Group Practice | 5698843449 |
Receives reassigned benefits from 2 practitioners Practice locations: Madison, MS |
National Provider Directory
National Provider DirectoryLocations
111 Fountains Blvd
Madison, MS 39110
Phone (601) 707-7026
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Madison, MS
- NPI 1558817668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758844800000",
"number": "1487800520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 FOUNTAINS BLVD",
"city": "MADISON",
"state": "MS",
"postal_code": "391106344",
"telephone_number": "601-707-7026",
"fax_number": "601-707-7054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 FOUNTAINS BLVD",
"city": "MADISON",
"state": "MS",
"postal_code": "391106344",
"telephone_number": "601-707-7026",
"fax_number": "601-707-7054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSISSIPPI VEIN INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-08",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A",
"authorized_official_last_name": "MANNING",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-927-8176",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.