Vascular and Vein Institute of the South, PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC

Practice address

1300 Sunset Dr Ste P
Grenada, MS 38901-4084

Phone

(901) 390-2930

NPI assigned

Apr 5, 2023

Organization subpart

No

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

Authorized official

Name

Anton D Perera, MD

Title

Authorized Official

Phone

(901) 390-2930

Specialties & licenses 1

Addresses

Tax ID family

Vascular and Vein Institute of the South PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Vascular and Vein Institute of the South, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Memphis, TN
  • NPI 1073396453
  NPD tax ID
• Vascular and Vein Institute of the South, PLLC

  • Prosthetic/Orthotic Supplier
  • Bartlett, TN
  • NPI 1225735616
  NPD tax ID
• Vascular and Vein Institute of the South, PLLC

  • Vascular Surgery Physician
  • Germantown, TN
  • NPI 1427743715
  NPD tax ID

Practitioners 1

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

• Prateek Kumar Gupta, MBBS

  • Vascular Surgery Physician
  • Germantown, TN
  • NPI 1952555666
  NPD (past)

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1518652676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 W BRIERBROOK RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382208",
            "telephone_number": "901-390-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SUNSET DR STE P",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014084",
            "telephone_number": "901-390-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "PERERA",
        "authorized_official_first_name": "ANTON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "901-390-2930",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronnie Tritt, FNP-BC
• Triumph Prosperity, LLC
• Agnes Pamela Upchurch, FNP
• Olivia McDaniel Van Gordon
• Michelle Vanhorn, RPH
• Jeremy Villalobos
• Viner Counseling Center
• Russell Shane Viner, L.P.C.
• W. Boyd Massey, M.D., P.a.
• Tarence E Wade, MD

• Vascular Surgery Physician in Grenada, MS
• Providers in Grenada, MS by specialty
• Vascular Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.