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MID SOUTH VASCULAR CLINIC
NPI 1003837279
Internal Medicine - Cardiovascular Disease in Memphis, TN

Active since July 22, 2006
6027 WALNUT GROVE RD, SUITE 205, MEMPHIS, TN 38120(901) 683-4471(901) 683-3915 Get Directions Write a Review

NPPES record last updated: July 8, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mid South Vascular Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID SOUTH VASCULAR CLINIC (NPI 1003837279) is a healthcare organization registered as a cardiovascular disease in Memphis, Tennessee and active in the NPI registry since July 2006. The organization lists Jesse T Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1003837279
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameMID SOUTH VASCULAR CLINIC
Location Address6027 WALNUT GROVE RD, SUITE 205Memphis, TN 38120-2145
Mailing Address6027 Walnut Grove Rd, Suite 205Memphis, TN 38120-2145 · (901) 683-4471 · Fax (901) 683-3915
Phone(901) 683-4471
Fax(901) 683-3915
Organization SubpartNo
Authorized OfficialJesse T DavisOwner · (901) 683-4471
Enumeration DateJuly 22, 2006
Last NPPES UpdateJuly 8, 2008
✔ NPI 1003837279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TN · 06816
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

6027 WALNUT GROVE RD, Memphis, TN 38120
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Other Identifiers 3

Medicaid3149502TN
Medicare UPINB30406TN
Medicare ID-Type Unspecified3149502TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GERMANTOWN INTERNAL MEDICINE, PC
Internal Medicine
6027 WALNUT GROVE RD, SUITE 114
MEMPHIS, TN 38120
Shelby County (901) 634-4402
VENESTER RILEY KNIGHT NP
Nurse Practitioner (Family)
6027 WALNUT GROVE RD
MEMPHIS, TN 38120
Shelby County (901) 226-2800
DR. MAHER GHAWJI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6027 WALNUT GROVE RD, SUITE 307
MEMPHIS, TN 38120
Shelby County (901) 681-0346
ANN CHRISTOPHER TROTTER ANP
Nurse Practitioner (Adult Health)
6027 WALNUT GROVE RD, SUITE 402
MEMPHIS, TN 38120
Shelby County (901) 767-0101
DR. PATRICIO A ILABACA MD
Surgery (Vascular Surgery)
6027 WALNUT GROVE RD, SUITE 114
MEMPHIS, TN 38120
Shelby County (901) 683-6161
DR. HAROLD S SACKS M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6027 WALNUT GROVE RD, SUITE 307
MEMPHIS, TN 38120
Shelby County (901) 681-0346
PATRICIO A. ILABACA, MD, PC
Surgery (Vascular Surgery)
6027 WALNUT GROVE RD, SUITE 114
MEMPHIS, TN 38120
Shelby County (901) 683-6161
EDWARD MCCORMICK REAVES MD
Internal Medicine (Cardiovascular Disease)
6027 WALNUT GROVE RD, SUITE 201
MEMPHIS, TN 38120
Shelby County (901) 683-0417

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid South Vascular Clinic's NPI number?

The NPI number for Mid South Vascular Clinic is 1003837279. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Mid South Vascular Clinic located?

Mid South Vascular Clinic is located at 6027 Walnut Grove Rd Suite 205, Memphis, TN 38120. The listed phone number is (901) 683-4471.

What is Mid South Vascular Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Mid South Vascular Clinic was last updated on July 8, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.