SOUTHERN VASCULAR AND PAIN SURGERY CENTER OLIVE BRANCH LLC
NPI 1063307650
Clinic/Center - Ambulatory Surgical in Olive Branch, MS
About Southern Vascular And Pain Surgery Center Olive Branch Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN VASCULAR AND PAIN SURGERY CENTER OLIVE BRANCH LLC (NPI 1063307650) is a healthcare organization registered as an ambulatory surgical in Olive Branch, Mississippi and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Thomas Hodgkiss, Md/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2329044
Southern Vascular And Pain Surgery Center Olive Branch · Olive Branch, MSFrequently 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 Southern Vascular And Pain Surgery Center Olive Branch LLC's NPI number?
The NPI number for Southern Vascular And Pain Surgery Center Olive Branch LLC is 1063307650. It was assigned to this organization in the NPPES registry on June 12, 2025.
Where is Southern Vascular And Pain Surgery Center Olive Branch LLC located?
Southern Vascular And Pain Surgery Center Olive Branch LLC is located at 8990 Germantown Rd Ste A, Olive Branch, MS 38654. The listed phone number is (901) 350-0678.
What is Southern Vascular And Pain Surgery Center Olive Branch LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Southern Vascular And Pain Surgery Center Olive Branch LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2329044) is associated with this NPI, valid through August 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Southern Vascular And Pain Surgery Center Olive Branch LLC was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Southern Vascular And Pain Surgery Center Olive Branch Llc · NPI 1063307650
Ambulatory Surgical organization in Olive Branch, Mississippi. Organization record, active in the CMS NPPES registry since June 12, 2025.
## Identity
- **NPI:** 1063307650 (Entity type: Organization)
- **Enumerated:** June 12, 2025
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Thomas Hodgkiss, MD/OWNER
## Practice location
- **Address:** 8990 GERMANTOWN RD STE A, Olive Branch, MS 38654-8532
- **Phone:** (901) 350-0678
## Record status
- **NPPES last updated:** December 3, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063307650) · Data from the CMS NPPES public registry.