NPIMap

Organization Active NPI

Vein Specialists of the South

  • Surgical Physician Assistant
  • Macon, GA
National Provider Identifier
1861760027
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
VEIN SPECIALISTS OF THE SOUTH
Practice address
556 3Rd St
Macon, GA 31201-7934
Phone
(478) 743-2472
Fax
(478) 743-1516
NPI assigned
Dec 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Dr. Kenneth E Harper, M.D.NPI 1922062496
Title
Owner and Physician
Phone
(478) 743-2472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

556 3Rd St
Macon, GA 31201-7934

Mailing address

556 3Rd St
Macon, GA 31201-7934
Phone (478) 743-2472

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111206000863 GA Part B Supplier - Clinic/Group Practice 0547435372 Receives reassigned benefits from 8 practitioners
Practice locations: Locust Grove, GA; Macon, GA; Warner Robins, GA

National Provider Directory

National Provider Directory

Locations

4851 Bill Gardner Pkwy
Ste 103
Locust Grove, GA 30248
Phone (404) 777-8346

556 3rd St
Ste A
Macon, GA 31201
Phone (478) 743-2209

556 3rd St
Macon, GA 31201
Phone (478) 475-0600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20306/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 10

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": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1861760027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 3RD ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017934",
            "telephone_number": "478-743-2472",
            "fax_number": "478-743-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 3RD ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017934",
            "telephone_number": "478-743-2472",
            "fax_number": "478-743-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN SPECIALISTS OF THE SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER AND PHYSICIAN",
        "authorized_official_telephone_number": "478-743-2472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.