Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOUTHERN KENTUCKY VASCULAR PROCEDURE CENTER, PLLC
NPI 1720713506
Surgery - Vascular Surgery in Somerset, KY

Active since July 18, 2022CLIA 18D2311482 · Waiver
50 MEDPARK DR STE 2, SOMERSET, KY 42503(606) 531-4100(606) 220-2116 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2026, Feb 27, 2023, Nov 4, 2022 and 1 more (4 updates tracked since 2022).

About Southern Kentucky Vascular Procedure Center, Pllc NPPES

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

SOUTHERN KENTUCKY VASCULAR PROCEDURE CENTER, PLLC (NPI 1720713506) is a healthcare organization registered as a vascular surgery in Somerset, Kentucky and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through September 22, 2026 and lists Tanner Brown, Administrator, as its authorized official.

NPPES Registry Identity

NPI1720713506
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSOUTHERN KENTUCKY VASCULAR PROCEDURE CENTER, PLLC
Location Address50 MEDPARK DR STE 2Somerset, KY 42503-4730
Mailing Address50 Medpark Dr Ste 2Somerset, KY 42503-4730 · (606) 531-4100 · Fax (606) 220-2116
Fax(606) 220-2116
Organization SubpartNo
Authorized OfficialTanner BrownAdministrator · (270) 535-7686
Enumeration DateJuly 18, 2022
Last NPPES UpdateJuly 22, 20264 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
NPI 1720713506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
50 MEDPARK DR STE 2, Somerset, KY 42503

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

Accepted Insurance

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 18D2311482

Southern Kentucky Vascular ASC · Somerset, KY
Active · expires Sep 22, 2026
CLIA Number18D2311482
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorDr. Donald W. Brown
Laboratory Phone(606) 531-4100
Laboratory LocationSouthern Kentucky Vascular ASC50 Medpark Dr Suite 2, Somerset, KY 42503
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 Southern Kentucky Vascular Procedure Center, PLLC's NPI number?

The NPI number for Southern Kentucky Vascular Procedure Center, PLLC is 1720713506. It was assigned to this organization in the NPPES registry on July 18, 2022.

Where is Southern Kentucky Vascular Procedure Center, PLLC located?

Southern Kentucky Vascular Procedure Center, PLLC is located at 50 Medpark Dr Ste 2, Somerset, KY 42503. The listed phone number is (606) 531-4100.

What is Southern Kentucky Vascular Procedure Center, PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Does Southern Kentucky Vascular Procedure Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2311482) is associated with this NPI, valid through September 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Kentucky Vascular Procedure Center, PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Southern Kentucky Vascular Procedure Center, PLLC 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 Kentucky Vascular Procedure Center, PLLC was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.