NPIMap

Organization Active NPI

Legacy Vein Center PLLC

  • Durable Medical Equipment & Medical Supplies
  • Sevierville, TN
National Provider Identifier
1770158859
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LEGACY VEIN CENTER PLLC
Practice address
1229 Fox Meadows Blvd Ste 2
Sevierville, TN 37862-6925
Phone
(865) 437-3977
Fax
(865) 437-3912
NPI assigned
May 21, 2021
Last updated
Jul 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Ginger Reece
Title
Director of Operations
Phone
(423) 328-0163

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Surgery Physician 208600000X NU

Addresses

Primary practice location

1229 Fox Meadows Blvd Ste 2
Sevierville, TN 37862-6925

Mailing address

4 Sheridan SQ Ste 102
Kingsport, TN 37660-7435
Phone (423) 328-0163

National Provider Directory

National Provider Directory

Locations

1450 Dowell Springs Blvd
Ste 110
Knoxville, TN 37909
Phone (865) 281-5960

4327 W Andrew Johnson Hwy
Ste 4
Morristown, TN 37814
Phone (423) 714-0880

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1770158859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SHERIDAN SQ STE 102",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607435",
            "telephone_number": "423-328-0163",
            "fax_number": "423-491-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 FOX MEADOWS BLVD STE 2",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626925",
            "telephone_number": "865-437-3977",
            "fax_number": "865-437-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY VEIN CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "REECE",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "423-328-0163"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.