# VIP MIDSOUTH, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** VIP Children's Clinic - Lafayette
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588247811
- **Authorized official:** ROBERT NICK BRANHAM (PRESIDENT)
- **Authorized official phone:** (615) 451-9246

## Contact information

- **Practice address:** 306 W LOCUST ST, LAFAYETTE, TN 37083-1713
- **Practice address phone:** (615) 688-7012
- **Practice address fax:** (615) 452-7862
- **Mailing address:** 3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/04/2021
- **Last updated:** 03/23/2026