Vascular and Vein Institute of the South, PLLC
NPI 1073396453ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Memphis, TN
Podiatrist, Foot & Ankle Surgery in Memphis, Tennessee, registered in NPPES in August 2023, part of Vascular and Vein Institute of the South PLLC. The authorized official on file is Deona Deicke, Credentialing Specialist.
Overview
| NPI | 1073396453 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Vascular and Vein Institute of the South PLLC |
| NPI issued | Aug 17, 2023 |
| Last updated in NPPES | Aug 17, 2023 |
| Certified by provider | Aug 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | — | — |
| Surgery, Vascular Surgery | 2086S0129X | — | — |
| Podiatrist | 213E00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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