NPIMap

Organization Active NPI

VCP2 Nashville PC

  • Surgery Physician
  • Nashville, TN
National Provider Identifier
1801225412
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
VCP2 NASHVILLE PC
Practice address
2001 Charlotte Ave
Suite 205
Nashville, TN 37203
Phone
(615) 329-0029
Fax
(706) 854-2149
NPI assigned
Nov 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Jewell Halliburton
Title
Regional Practice Administrator
Phone
(615) 329-0029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2001 Charlotte Ave
Suite 205
Nashville, TN 37203

Mailing address

2001 Charlotte Ave
Suite 205
Nashville, TN 37203
Phone (615) 329-0029

Other names 1

  • Vein Guys Nashville PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140305001798 TN Part B Supplier - Clinic/Group Practice 5496985731 Receives reassigned benefits from 7 practitioners
Practice locations: Clarksville, TN; Nashville, TN; Hendersonville, TN

National Provider Directory

National Provider Directory

Locations

1011 Highway 76
Ste A
Clarksville, TN 37043
Phone (866) 328-8346

353 New Shackle Island Rd
Ste 20
Hendersonville, TN 37075

353 New Shackle Island Rd
#200
Hendersonville, TN 37075

2001 Charlotte Ave
Ste 205
Nashville, TN 37203
Phone (615) 294-8453

Practitioners & affiliated clinicians

Practitioners 9

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": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1801225412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CHARLOTTE AVE",
            "address_2": "SUITE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "615-329-0029",
            "fax_number": "706-854-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CHARLOTTE AVE",
            "address_2": "SUITE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "615-329-0029",
            "fax_number": "706-854-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCP2 NASHVILLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "HALLIBURTON",
        "authorized_official_first_name": "JEWELL",
        "authorized_official_title_or_position": "REGIONAL PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "615-329-0029"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vein Guys Nashville PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.