Vetra Anete Gipson, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

47858 Issued in TN

Practice address

3601 SW 160TH Ave
Suite 250
Miramar, FL 33027-6308

Phone

(305) 866-9951

Fax

(877) 284-8933

NPI assigned

Jul 27, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive SurgeryAlso: Peripheral Vascular Disease

Education

University of Mississippi School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vohra Post Acute Care Physicians of the East PAGroup PAC ID 5496981243, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Select Specialty Hospital Memphis Long-term care hospital, Memphis, TN, CCN 442014
• Select Specialty Hospital- Memphis East Long-term care hospital, Memphis, TN, CCN 442010

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vohra Post Acute Care Physicians of the East, PA

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1063848968

  TN

  Medicare reassignment Care Compare group NPD
• West Side Plastic Surgery, Inc

  • Plastic and Reconstructive Surgery Physician
  • Atlanta, GA
  • NPI 1730380775
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Select Specialty Hospital - Memphis Inc

  • Long Term Care Hospital
  • Memphis, TN
  • NPI 1780684423

  Long-term care hospital

  Care Compare affiliation
• Select Specialty Hospital - Memphis Inc

  • Long Term Care Hospital
  • Memphis, TN
  • NPI 1942097852

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1528068061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 S COBB DR SE STE H",
            "address_2": "BOX 323",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806984",
            "telephone_number": "404-805-5535",
            "fax_number": "866-935-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE",
            "address_2": "SUITE 250",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276308",
            "telephone_number": "305-866-9951",
            "fax_number": "877-284-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "VETRA",
        "middle_name": "ANETE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "47858",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "050518",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "47858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00963102A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "24BCBWK",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riclair Gilot, M.S., L.C.M.H.C.
• Ginna G. Therapy, LLC
• Cassandra Jade Gioia de Leon
• Antonia Giordani, RN
• Brian Giordano, MD
• Ruth Giraudy
• Amany Girgis
• Chelsey Giron
• Givens & Givens Express LLC
• Tajuana Givens

• Plastic Surgery Physician in Miramar, FL
• Providers in Miramar, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.