Provider Type Icon

AUDREA OLIVIA VAUGHAN D.O. NPI 1023339355


NPI Information

NPI: 1023339355
Provider Name: AUDREA OLIVIA VAUGHAN, D.O.
Classification: Hospitalist - 208M00000X
Entity Type: Individual
Organization: EASTSIDE HOSPITALISTS INC

PECOS Registration: Yes

Address:
4700 WATERS AVE
SAVANNAH, GA
ZIP 31404
Phone: (912) 350-1316
Get Directions

Audrea Olivia Vaughan, D.O. is a hospitalist in Savannah, GA with 14 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Audrea Olivia Vaughan, D.O. NPI is 1023339355. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduation Year:2010

The provider's business location address is:

4700 WATERS AVE
SAVANNAH, GA
ZIP 31404-220
Phone: (912) 350-1316
Fax: (912) 350-2157

The NPI 1023339355 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 6/22/2010 and was last updated on 9/19/2013.


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 Medicine004366GEORGIANo
2208M00000XHospitalist004366GEORGIAYes

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
1P01202428OTHERGEORGIARAILROAD MEDICARE
2003123893BMEDICAIDGEORGIA
3GA1452MEDICAIDSOUTH CAROLINA
4202I088826MEDICARE PINGEORGIA

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: 11/14/2023

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.