Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Vascular and Pain Surgery Center

Organization Ambulatory Surgical Clinic/Center · NPI 1396427241

Southern Vascular and Pain Surgery Center is an Ambulatory Surgical Clinic/Center in Fulton, Kentucky. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

221 Main St
Fulton, KY 42041-1601
Phone: (901) 350-0978
Fax: (901) 350-0677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1396427241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Hodgkiss — Owner/Physician · (901) 350-0978
NPI enumeratedAugust 1, 2023
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025
Mailing address921 Dent Rd, Eads, TN 38028-9704