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Mid South Vascular Clinic

Cardiovascular Disease Physician in Memphis, TN · enumerated 2006 · authorized official Jesse Davis, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003837279

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Registry record

Entity type Organization (Type 2)
Legal business name Mid South Vascular Clinic
Practice address 6027 Walnut Grove Rd, Suite 205, Memphis, TN, 38120
Fax (901) 683-3915
Enumeration date Jul 22, 2006
Last updated in NPPES Jul 8, 2008

Taxonomy & classification

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 06816 (TN) Primary

Authorized official

Name Jesse Davis
Title Owner

Other identifiers

Identifier Type State Issuer
3149502 Medicaid TN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Mid South Vascular Clinic?
NPPES lists Jesse Davis (Owner) as the authorized official for this organization.
What is the NPI number for Mid South Vascular Clinic?
The NPI for Mid South Vascular Clinic is 1003837279, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-08.