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NPISignal

Individual Healthcare Provider

Pamela Renea Jimson, MHA

NPI Record: ActivePhlebology
NPI1669252748
La Vergne, Tennessee

Provider's NPPES record last updated: October 27, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1669252748
Primary Specialty
Phlebology
Practice Location
La Vergne, Tennessee
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:44 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Phlebology

    Allopathic & Osteopathic Physicians

    Primary

    Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.

    Taxonomy code 202K00000X
  • Technician, Pathology

    Phlebotomy

    Technologists, Technicians & Other Technical Service Providers

    Definition to come...

    Taxonomy code 246RP1900X

Provider-Reported License Information

Phlebology (Mississippi)
20-002PI19
Technician, Pathology (Mississippi)
20-002P19
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

510 Southlake Dr

La Vergne, Tennessee 37086-2669

Phone: (662) 822-5301

Record Information

Enumeration Date
October 5, 2023
Provider's NPPES Record Last Updated
October 27, 2023
Certification Date
October 10, 2023
NPISignal NPPES Dataset
August 2026

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