FLOWOOD VASCULAR ACCESS ASC LLC NPI 1710425913

NPI Information

  • NPI: 1710425913
  • Provider Name: FLOWOOD VASCULAR ACCESS ASC LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 1010 LAKELAND SQUARE EXT
    SUITE B
    FLOWOOD, MS
    ZIP 39232
  • Phone: (601) 709-8800

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NPI Details

FLOWOOD VASCULAR ACCESS ASC LLC is an ambulatory surgical clinic center in Flowood, MS. FLOWOOD VASCULAR ACCESS ASC LLC NPI is 1710425913. The provider is registered as an organization entity type.

The provider's business location address is:

1010 LAKELAND SQUARE EXT
SUITE B
FLOWOOD, MS
ZIP 39232-607
Phone: (601) 709-8800

The provider's authorized official is Gregg Miller .
The authorized official title is Senior Vp Operations and has the following contact phone number (717) 515-4048.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube (HCPCS:36905)
  • Replacement of tunneled central venous tube (HCPCS:36581)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist (HCPCS:36903)
  • Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist (HCPCS:36906)

The enumeration date for this NPI number is 2/8/2017 and was last updated on 3/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102558295MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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