CYNTHIA ANGELLA VAUGHAN NP NPI 1124770136

NPI Information

  • NPI: 1124770136
  • Provider Name: CYNTHIA ANGELLA VAUGHAN, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4296 ROUND STONE DR
    SNELLVILLE, GA
    ZIP 30039
  • Phone: (678) 598-1144

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NPI Details

Cynthia Angella Vaughan, NP is a family nurse practitioner in Snellville, GA with 5 years of experience. Cynthia Angella Vaughan, NP NPI is 1124770136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4296 ROUND STONE DR
SNELLVILLE, GA
ZIP 30039-732
Phone: (678) 598-1144

The NPI 1124770136 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 1/20/2022 and was last updated on 10/14/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN158896GEORGIAYes

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: 11/21/2025

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