OrganizationActive
Southern Vascular and Pain Surgery Center
NPI 1396427241 · Ambulatory Surgical Clinic/Center · Fulton, KY
Provider details
- NPI number
- 1396427241
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Hodgkiss, Owner/Physician(901) 350-0978
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
221 Main St
Fulton, KY 42041-1601
Phone: (901) 350-0978
Fax: (901) 350-0677
Street-level locationGet directions
Mailing address
921 Dent Rd
Eads, TN 38028-9704
Registry dates
- Enumerated
- 2023-08-01
- Last updated
- 2025-10-30
- Certified
- 2025-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.