SOUTHERN VASCULAR AND PAIN SURGERY CENTER
NPI 1396427241
Clinic/Center - Ambulatory Surgical in Fulton, KY
About Southern Vascular And Pain Surgery Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN VASCULAR AND PAIN SURGERY CENTER (NPI 1396427241) is a healthcare organization registered as an ambulatory surgical in Fulton, Kentucky and active in the NPI registry since August 2023. The organization holds 2 active CLIA laboratory certificates and lists Thomas D Hodgkiss, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Vascular And Pain Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Southern Vascular And Pain Surgery Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 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 Waiver 18D2296766
Southern Vascular & Pain Surgery Center LLC · Fulton, KYCertificate of Waiver 25D2293884
Southern Vascular And Pain Management · Southaven, 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's NPI number?
The NPI number for Southern Vascular And Pain Surgery Center is 1396427241. It was assigned to this organization in the NPPES registry on August 1, 2023.
Where is Southern Vascular And Pain Surgery Center located?
Southern Vascular And Pain Surgery Center is located at 221 Main St, Fulton, KY 42041. The listed phone number is (901) 350-0978.
What is Southern Vascular And Pain Surgery Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Southern Vascular And Pain Surgery Center enrolled in Medicare?
Yes. Southern Vascular And Pain Surgery Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Vascular And Pain Surgery Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Southern Vascular And Pain Surgery Center, in Certified Registered Nurse Anesthetist (CRNA) and Interventional Pain Management. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern Vascular And Pain Surgery Center 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.
What insurance does Southern Vascular And Pain Surgery Center accept?
Health plans from Anthem Blue Cross and Blue Shield list Southern Vascular And Pain Surgery Center 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 Southern Vascular And Pain Surgery Center was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 · NPI 1396427241
Ambulatory Surgical organization in Fulton, Kentucky. Organization record, active in the CMS NPPES registry since August 1, 2023.
## Identity
- **NPI:** 1396427241 (Entity type: Organization)
- **Enumerated:** August 1, 2023
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Thomas Hodgkiss, OWNER/PHYSICIAN
## Practice location
- **Address:** 221 MAIN ST, Fulton, KY 42041-1601
- **Phone:** (901) 350-0978 · **Fax:** (901) 350-0677
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Interventional Pain Management (2), Certified Registered Nurse Anesthetist (CRNA) (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 30, 2025
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396427241) · Data from the CMS NPPES public registry.