ADVANCED VASCULAR AND VEIN ASSOCIATES, LLC
NPI 1275205809
Clinic/Center - Multi-Specialty in Flowood, MS

Active since October 01, 2021CLIA 25D2250603 · Waiver
4436 MANGUM DR, FLOWOOD, MS 39232(601) 586-7070(601) 586-7071 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, Feb 7, 2024, Oct 1, 2021 (3 updates tracked since 2021).

About Advanced Vascular And Vein Associates, Llc NPPES

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

ADVANCED VASCULAR AND VEIN ASSOCIATES, LLC (NPI 1275205809) is a healthcare organization registered as a multi-specialty in Flowood, Mississippi and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through January 26, 2028 and lists Lachelle Griffin, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1275205809
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameADVANCED VASCULAR AND VEIN ASSOCIATES, LLC
Location Address4436 MANGUM DRFlowood, MS 39232-2113
Mailing Address4436 Mangum DrFlowood, MS 39232-2113
Fax(601) 586-7071
Organization SubpartNo
Authorized OfficialLachelle GriffinCredentialing Manager · (769) 208-4437
Enumeration DateOctober 1, 2021
Last NPPES UpdateOctober 23, 20243 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
✔ NPI 1275205809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
4436 MANGUM DR, Flowood, MS 39232

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Vascular And Vein Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20211220000638Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

141

Medicare enrollment records show 141 clinicians reassign Medicare billing to Advanced Vascular And Vein Associates, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner131
Vascular Surgery4
Cardiovascular Disease (Cardiology)1
Family Practice1
General Surgery1
Internal Medicine1
Interventional Pain Management1
Plastic and Reconstructive Surgery1

Nearest to this location (20)

See all 141
Nurse Practitioner
NPI 1134523111
4436 MANGUM DR
Flowood, MS 39232
(601) 586-7070
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1245545383
4436 MANGUM DR
Flowood, MS 39232
(601) 586-7070
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790487718
4436 MANGUM DR
Flowood, MS 39232
(601) 586-7070
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1174006522
10 CANEBRAKE BLVD STE 110-09
Flowood, MS 39232
(769) 333-8808
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1821738972
632 LAKELAND EAST DR
Flowood, MS 39232
(769) 243-6141
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1316517063
120 STONE CREEK BLVD STE 300
Flowood, MS 39232
(769) 333-8808
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1770440398
778 LIBERTY RD
Flowood, MS 39232
(769) 243-6141
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1144940172
778 LIBERTY RD
Flowood, MS 39232
(769) 243-6141
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1417133083
778 LIBERTY RD
Flowood, MS 39232
(769) 243-6141
✔ PECOS1.7 mi
Nurse Practitioner
NPI 1730796376
778 LIBERTY RD
Flowood, MS 39232
(769) 243-6141
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1942924006
778 LIBERTY RD
Flowood, MS 39232
(769) 243-6141
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1336973098
778 LIBERTY RD
Flowood, MS 39232
(769) 243-6141
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1447098942
778 LIBERTY RD
Flowood, MS 39232
(769) 208-4437
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1154184372
778 LIBERTY RD
Flowood, MS 39232
(769) 243-6141
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1639634751
1031 N FLOWOOD DR
Flowood, MS 39232
(601) 487-7445
✔ PECOS✔ Accepts Medicare2.3 mi
Cardiovascular Disease (Cardiology)
NPI 1447286612
1031 N FLOWOOD DR
Flowood, MS 39232
(601) 487-7445
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1861195422
969 LAKELAND DR
Jackson, MS 39216
(601) 200-2000
✔ PECOS✔ Accepts Medicare3.5 mi
Nurse Practitioner
NPI 1134719743
2507A OLD BRANDON RD
Pearl, MS 39208
(601) 345-2124
✔ PECOS✔ Accepts Medicare3.6 mi
Nurse Practitioner
NPI 1114494754
1325 E FORTIFICATION ST
Jackson, MS 39202
(160) 135-4448
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1790315638
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ PECOS✔ Accepts Medicare3.7 mi
See all 141 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 25D2250603

Advanced Vascular & Vein Associates LLC · Flowood, MS
Active · expires Jan 26, 2028
CLIA Number25D2250603
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateJanuary 26, 2028
Laboratory DirectorDr. Danon E. Garrido
Laboratory Phone(601) 586-7070
Laboratory LocationAdvanced Vascular & Vein Associates LLC4436 Mangum Dr, Flowood, MS 39232
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Vascular And Vein Associates, LLC's NPI number?

The NPI number for Advanced Vascular And Vein Associates, LLC is 1275205809. It was assigned to this organization in the NPPES registry on October 1, 2021.

Where is Advanced Vascular And Vein Associates, LLC located?

Advanced Vascular And Vein Associates, LLC is located at 4436 Mangum Dr, Flowood, MS 39232. The listed phone number is (601) 586-7070.

What is Advanced Vascular And Vein Associates, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Advanced Vascular And Vein Associates, LLC enrolled in Medicare?

Yes. Advanced Vascular And Vein Associates, LLC is registered in the Medicare PECOS enrollment system.

When is Advanced Vascular And Vein Associates, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Advanced Vascular And Vein Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 141 clinicians in 8 Medicare specialties reassign their Medicare billing to Advanced Vascular And Vein Associates, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (131), Vascular Surgery (4) and Cardiovascular Disease (Cardiology) (1). Of these, 3 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Vascular And Vein Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2250603) is associated with this NPI, valid through January 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Vascular And Vein Associates, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Advanced Vascular And Vein Associates, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Vascular And Vein Associates, LLC was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.