VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC
NPI 1073396453
Podiatrist - Foot & Ankle Surgery in Memphis, TN

Active since August 17, 2023CLIA Certified · 2 labs
1653 POPLAR AVE, MEMPHIS, TN 38104(901) 390-2930 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vascular And Vein Institute Of The South, Pllc NPPES

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

VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC (NPI 1073396453) is a healthcare organization registered as a foot & ankle surgery in Memphis, Tennessee and active in the NPI registry since August 2023. The organization holds 2 active CLIA laboratory certificates and lists Deona Deicke, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1073396453
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameVASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC
Location Address1653 POPLAR AVEMemphis, TN 38104-2511
Mailing AddressPo Box 386Boynton Beach, FL 33425-0386 · (203) 641-9529
Organization SubpartYesParent: Vascular And Vein Institute Of The South Pllc
Authorized OfficialDeona DeickeCredentialing Specialist · (203) 641-9529
Enumeration DateAugust 17, 2023
NPPES CertifiedAugust 17, 2023
NPI 1073396453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1653 POPLAR AVE, Memphis, TN 38104

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 04D2196775

Vascular And Vein Institute Of The South · West Memphis, AR
Active · expires Jun 29, 2027
CLIA Number04D2196775
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorDr. Prateek Gupta
Laboratory Phone(901) 390-2930
Laboratory LocationVascular And Vein Institute Of The South306 South Rhodes Street, West Memphis, AR 72301
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 44D2160587

Vascular & Vein Institute Of The South · Germantown, TN
Active · expires Jun 29, 2027
CLIA Number44D2160587
Laboratory TypeIndependent
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorDr. Prateek K. Gupta
Laboratory Phone(901) 390-2930
Laboratory LocationVascular & Vein Institute Of The South1385 W Brierbrook Road, Germantown, TN 38138
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

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

Non-Pharmacy Dispensing Site
1653 POPLAR AVE
MEMPHIS, TN 38104

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 Vascular And Vein Institute Of The South, PLLC's NPI number?

The NPI number for Vascular And Vein Institute Of The South, PLLC is 1073396453. It was assigned to this organization in the NPPES registry on August 17, 2023.

Where is Vascular And Vein Institute Of The South, PLLC located?

Vascular And Vein Institute Of The South, PLLC is located at 1653 Poplar Ave, Memphis, TN 38104. The listed phone number is (901) 390-2930.

What is Vascular And Vein Institute Of The South, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Does Vascular And Vein Institute Of The South, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Vascular And Vein Institute Of The South, PLLC was last updated on August 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.