Organization Active NPI

Orris Vein Center

  • Phlebology Physician
  • Cumming, GA
National Provider Identifier
1598518516
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
Legal business name
ORRIS VEIN CENTER
Practice address
5830 Bond St Ste 200B
Cumming, GA 30040-0307
Phone
(470) 201-7777
NPI assigned
Apr 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Billie Casper Orris
Title
Practice Manager
Phone
(770) 205-5518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202K00000X Primary

Addresses

Primary practice location

5830 Bond St Ste 200B
Cumming, GA 30040-0307

Mailing address

5830 Bond St Ste 200B
Cumming, GA 30040-0307

Other practice location 1

1255 Friendship Rd Ste 120
Braselton, GA 30517-5612
Phone (470) 201-7777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240625001474 GA Part B Supplier - Clinic/Group Practice 0345783882 Receives reassigned benefits from 3 practitioners
Practice locations: Rome, GA; Cumming, GA

National Provider Directory

National Provider Directory

Locations

5830 Bond St
Ste 200B
Cumming, GA 30040
Phone (470) 201-7777

705 Shorter Ave SW
Rome, GA 30165
Phone (706) 506-7608

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1598518516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 BOND ST STE 200B",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 BOND ST STE 200B",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400307",
            "telephone_number": "470-201-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Friendship Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305175612",
            "country_code": "US",
            "telephone_number": "470-201-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORRIS VEIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "ORRIS",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_middle_name": "CASPER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "770-205-5518"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.