Advanced Vascular and Vein Associates, LLC
NPI 1275205809ActiveOrganization· Clinic/Center, Multi-Specialty· Flowood, MS
Clinic/Center, Multi-Specialty in Flowood, Mississippi, registered in NPPES in October 2021. The authorized official on file is Lachelle Griffin, Credentialing Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1275205809 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 1, 2021 |
| Last updated in NPPES | Oct 23, 2024 |
| Certified by provider | Oct 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
| Surgery, Vascular Surgery | 2086S0129X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (AL); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (MS); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX) |
|---|
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