MEDICARE: MISSISSIPPI VEIN INSTITUTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician
2	202K00000X	Phlebology Physician

General Provider Information

NPI Number	:	1487800520
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MISSISSIPPI VEIN INSTITUTE

Provider Business Mailing Address
First Line	:	111 FOUNTAINS BLVD
Second Line	:
City	:	MADISON
State	:	MS
Zip	:	39110-6344
Country	:	US
Telephone Number	:	601-707-7026
Fax Number	:	601-707-7054

Provider Business Practice Location Address
First Line	:	111 FOUNTAINS BLVD
Second Line	:
City	:	MADISON
State	:	MS
Zip	:	39110-6344
Country	:	US
Telephone Number	:	601-707-7026
Fax Number	:	601-707-7054

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN MICHAEL MANNING
Credential	:	M.D.
Telephone Number	:	601-927-8176

Provider Enumeration Date	:	08/08/2008
Last Update Date	:	09/26/2025

Similar Medicare Providers

1093745978 — DR. JOHN PRESTON PARRY M.D., M.P.H.
Practice Location Address:

149 FOUNTAINS BLVD
MADISON, MS
39110-6344

Practice Phone: 601-202-4779
Practice Fax: 601-202-4685

1770526212 — CLIFFORD C ADAMS III M.D.
Practice Location Address:

111 FOUNTAINS BLVD
MADISON, MS
39110-6344

Practice Phone: 601-707-7026
Practice Fax: 601-707-7054

1275731929 — DR. LESLIE F MASON M.D.
Practice Location Address:

115 FOUNTAINS BLVD , SUITE A
MADISON, MS
39110-6344

Practice Phone: 601-853-0100
Practice Fax: 601-853-3999

1679732788 — DR. ERIKA LOVE TANNER M.D.
Practice Location Address:

115 FOUNTAINS BLVD , SUITE A
MADISON, MS
39110-6344

Practice Phone: 601-853-0100
Practice Fax: 601-853-3999

1699068775 — MADISON OB/GYN ASSOCIATES LLC
Practice Location Address:

115 FOUNTAINS BLVD , SUITE A
MADISON, MS
39110-6344

Practice Phone: 601-853-0100
Practice Fax: 601-853-3999

1679910269 — ATTICUS GROUP LLC
Practice Location Address:

159 FOUNTAINS BLVD , SUITE B
MADISON, MS
39110-6344

Practice Phone: 601-859-8200
Practice Fax: 601-859-1057

Directions to “MISSISSIPPI VEIN INSTITUTE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.