TRIDENT VEIN CENTER PLLC
NPI 1477147080
Radiology - Vascular & Interventional Radiology in Spring Hill, TN

Q: What is Trident Vein Center PLLC's NPI number?

The NPI number for Trident Vein Center PLLC is 1477147080. It was assigned to this organization in the NPPES registry on February 24, 2021.

Q: What is Trident Vein Center PLLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Active since February 24, 2021

2040 RESERVE BLVD STE B, SPRING HILL, TN 37174(615) 455-3000 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 3, 2024, Feb 24, 2021 (2 updates tracked since 2021).

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About Trident Vein Center Pllc NPPES

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

TRIDENT VEIN CENTER PLLC (NPI 1477147080) is a healthcare organization registered as a vascular & interventional radiology in Spring Hill, Tennessee and active in the NPI registry since February 2021. The organization maintains a secondary practice location in Brentwood and lists Thomas Cunningham, Owner, as its authorized official.

NPPES Registry Identity

NPI1477147080

Entity TypeOrganization

Primary Taxonomy2085R0204X

Legal Business NameTRIDENT VEIN CENTER PLLC

Location Address2040 RESERVE BLVD STE BSpring Hill, TN 37174-0735

Mailing Address2040 Reserve Blvd Ste BSpring Hill, TN 37174-0735 · (615) 455-3000

Phone(615) 455-3000

Organization SubpartNo

Authorized OfficialThomas CunninghamOwner · (615) 455-3000

Enumeration DateFebruary 24, 2021

Last NPPES UpdateJuly 3, 20242 updates tracked since enumeration

NPPES CertifiedJuly 2, 2024

✔ NPI 1477147080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

2040 RESERVE BLVD STE B, Spring Hill, TN 37174

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Secondary Practice Location 1

Location 11001 Health Park Dr Ste 450Brentwood, TN 37027-5867 · Phone (615) 455-3000

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trident Vein Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Trident Vein Center PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Thomas Cunningham, MD

Interventional Radiology

NPI 1245208115

2040 RESERVE BLVD STE B
Spring Hill, TN 37174

(615) 455-3000

✔ PECOS✔ Accepts MedicareSame address

Liza Emch, AGACNP

Nurse Practitioner

NPI 1023560406

2040 RESERVE BLVD STE B
Spring Hill, TN 37174

(615) 455-3000

✔ PECOS✔ Accepts MedicareSame address

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

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 Trident Vein Center PLLC's NPI number?

The NPI number for Trident Vein Center PLLC is 1477147080. It was assigned to this organization in the NPPES registry on February 24, 2021.

Where is Trident Vein Center PLLC located?

Trident Vein Center PLLC is located at 2040 Reserve Blvd Ste B, Spring Hill, TN 37174. The listed phone number is (615) 455-3000.

What is Trident Vein Center PLLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Trident Vein Center PLLC enrolled in Medicare?

Yes. Trident Vein Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trident Vein Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Trident Vein Center PLLC, in Interventional Radiology and Nurse Practitioner. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Trident Vein Center PLLC was last updated on July 3, 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.