Vaughn Family Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VAUGHN FAMILY CARE LLC

Practice address

9540 Wynlakes PL
Montgomery, AL 36117

Phone

(334) 395-9933

Fax

(334) 395-9907

NPI assigned

Aug 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Thang Quoc An, DONPI 1972580744

Title

Member

Phone

(334) 514-1692

Specialties & licenses 2

Addresses

Other names 1

• Vaughn Urgent Care LLC Other name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thang Quoc An, DO

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1972580744
  Medicare reassignment Care Compare group Authorized official
• Deborah Lynn McCollum, FNP

  • Family Nurse Practitioner
  • Montgomery, AL
  • NPI 1437695681
  Medicare reassignment Care Compare group NPD
• Sai Shankar Namburu, M.D.

  • Family Medicine Physician
  • Selma, AL
  • NPI 1205894003
  Medicare reassignment NPD
• Vijay Tirumalasetty, MD

  • Family Medicine Physician
  • Canton, GA
  • NPI 1760618003

  AL

  Medicare reassignment NPD

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1043599541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9540 WYNLAKES PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178515",
            "telephone_number": "334-395-9933",
            "fax_number": "334-395-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9540 WYNLAKES PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-395-9933",
            "fax_number": "334-395-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAUGHN FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "AN",
        "authorized_official_first_name": "THANG",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "334-514-1692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vaughn Urgent Care LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Richard K. Vann, D.M.D.
• Jogy Varghese, M.D.
• Jonathan Mac Varner, M.D.
• Karen Vaughan
• Wallace Carroll Vaughan Jr., M.D.
• Vaughn Podiatry Center PC
• Hadryan H Vaughn, D.P.M.
• Vaughserenity Transport
• Vaxinall LLC.
• Erin Teresa Vazquez, MASTER CERTIFIED

• Family Medicine Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.