SOUTHERN VASCULAR AND PAIN SURGERY CENTER
NPI 1396427241
Clinic/Center - Ambulatory Surgical in Fulton, KY

Q: 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.

Active since August 01, 2023CLIA Certified · 2 labs

221 MAIN ST, FULTON, KY 42041(901) 350-0978(901) 350-0677 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1396427241

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSOUTHERN VASCULAR AND PAIN SURGERY CENTER

Location Address221 MAIN STFulton, KY 42041-1601

Mailing Address921 Dent RdEads, TN 38028-9704 · (901) 350-0978 · Fax (901) 350-0677

Phone(901) 350-0978

Fax(901) 350-0677

Organization SubpartNo

Authorized OfficialThomas D HodgkissOwner/physician · (901) 350-0978

Enumeration DateAugust 1, 2023

Last NPPES UpdateOctober 30, 2025

NPPES CertifiedOctober 30, 2025

✔ NPI 1396427241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

221 MAIN ST, Fulton, KY 42041

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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, KY

Active · expires Jan 4, 2028

CLIA Number18D2296766

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJanuary 5, 2026

Certificate Expiration DateJanuary 4, 2028

Laboratory DirectorDr. Thomas D. Hodgkiss

Laboratory Phone(901) 355-5036

Laboratory LocationSouthern Vascular & Pain Surgery Center LLC221 Main Street, Fulton, KY 42041

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2293884

Southern Vascular And Pain Management · Southaven, MS

Active · expires Nov 15, 2027

CLIA Number25D2293884

Laboratory TypePhysician Office

Certificate Effective DateNovember 16, 2025

Certificate Expiration DateNovember 15, 2027

Laboratory DirectorThomas Hodgkiss

Laboratory Phone(901) 350-0978

Laboratory LocationSouthern Vascular And Pain Management5740 Getwell Rd, Bldg 9, Ste B, Southaven, MS 38672

CLIA data matches this NPI record on: 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 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.

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.

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 9 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.