OrganizationActive
Vascular and Vein Institute of the South, PLLC
NPI 1518652676 · Vascular Surgery Physician · Grenada, MS
Provider details
- NPI number
- 1518652676
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anton Perera, Authorized Official(901) 390-2930
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
3 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
1300 Sunset Dr Ste P
Grenada, MS 38901-4084
Phone: (901) 390-2930
Street-level locationGet directions
Mailing address
1385 W Brierbrook Rd
Germantown, TN 38138-2208
Registry dates
- Enumerated
- 2023-04-05
- Last updated
- 2024-12-30
- Certified
- 2024-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.