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DR. JEFFREY VAUGHN MD NPI 1134121320


NPI Information

NPI: 1134121320
Provider Name: DR. JEFFREY VAUGHN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2033 MEADOWVIEW LN
3RD FLOOR
KINGSPORT, TN
ZIP 37660
Phone: (423) 857-2793
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DR. Jeffrey Vaughn, MD is a family medicine in Kingsport, TN with 37 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Jeffrey Vaughn, MD NPI is 1134121320. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

2033 MEADOWVIEW LN
3RD FLOOR
KINGSPORT, TN
ZIP 37660-569
Phone: (423) 857-2793
Fax: (423) 578-8025

The NPI 1134121320 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/1/2005 and was last updated on 5/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine0101041214VIRGINIANo
2207Q00000XFamily Medicine18226TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13700592MEDICARE UPINTENNESSEE
2D71864MEDICARE UPIN
3103I086169MEDICARE UPINTENNESSEE
43033474MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
53033474MEDICAIDTENNESSEE
6103I087672MEDICARE PINTENNESSEE
7080007186MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
83345605MEDICAIDTENNESSEE
95613612MEDICAIDVIRGINIA
10005613612MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.