Individual provider Active NPI

Aimee Vaughn, DVM CVA

  • Specialist
  • McDonough, GA
National Provider Identifier
1033562855
Registry record updated Jul 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
VET009136 Issued in GA
Practice address
100 Buddy Blvd
McDonough, GA 30252-2414
Phone
(678) 519-4742
NPI assigned
Jul 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X VET009136 GA Primary

Addresses

Primary practice location

100 Buddy Blvd
McDonough, GA 30252-2414

Mailing address

PO Box 1138
100 Buddy Blvd
McDonough, GA 30253-1138
Phone (678) 519-4742

Other identifiers 1

IdentifierTypeStateIssuer
VET009136OtherGALICENSING BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VET009136GAMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468627200000",
    "number": "1033562855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1138",
            "address_2": "100 BUDDY BLVD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302531138",
            "telephone_number": "678-519-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUDDY BLVD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302522414",
            "telephone_number": "678-519-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "AIMEE",
        "name_prefix": "Dr.",
        "credential": "DVM CVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-16",
        "last_updated": "2016-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "VET009136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSING BOARD",
            "identifier": "VET009136",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.