Active NPI
Elizabeth Rankin Vaughan, M.D.
- Internal Medicine Physician
- Greensboro, NC
National Provider Identifier
1043356017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 27863
- Practice address
- 1301 W Wendover Ave
Suite a
Greensboro, NC 27408-8125 - Phone
- (336) 808-3627
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 27863 | NC | Primary |
Addresses
Primary practice location
1301 W Wendover Ave
Suite a
Greensboro, NC 27408-8125
Mailing address
1301 W Wendover Ave
Ste a
Greensboro, NC 27408-8123
Phone (336) 808-3627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160620002491 | NC | Order and Referring Only - Internal Medicine | 4486702347 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1043356017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 W WENDOVER AVE",
"address_2": "STE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274088123",
"telephone_number": "336-808-3627",
"fax_number": "336-808-3628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W WENDOVER AVE",
"address_2": "SUITE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274088125",
"telephone_number": "336-808-3627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "ELIZABETH",
"middle_name": "RANKIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "27863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.