NPIMap

Organization Active NPI

Vaughan Physician Practices LLC

Doing business as Vaughan OB Gyn Associates

  • Obstetrics & Gynecology Physician
  • Selma, AL
National Provider Identifier
1063908325
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
VAUGHAN PHYSICIAN PRACTICES LLC
Doing business as
Vaughan OB Gyn Associates
Practice address
1023 Medical Center Pkwy Ste 401
Selma, AL 36701-6712
Phone
(334) 875-7173
Fax
(334) 875-7925
NPI assigned
Jul 10, 2018
Last updated
Oct 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Sara L Miller
Title
Director
Phone
(615) 920-7514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

1023 Medical Center Pkwy Ste 401
Selma, AL 36701-6712

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other names 1

  • Vaughan OB Gyn Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070604000705 AL Part B Supplier - Clinic/Group Practice 8123126851 Receives reassigned benefits from 36 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Selma, AL; Marion, AL; Camden, AL

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Central Alabama Surgical Associates7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1013 Medical Center Pkwy
Ste 101
Selma, AL 36701
Phone (334) 418-6648

1023 Medical Center Pkwy
Ste 201
Selma, AL 36701
Phone 33441866427738

1023 Medical Center Pkwy
Ste 301
Selma, AL 36701
Phone (334) 284-6500

1023 Medical Center Pkwy
Ste 305
Selma, AL 36701
Phone (334) 801-9952

1023 Medical Center Pkwy
Ste 311
Selma, AL 36701
Phone (334) 418-6652

1023 Medical Center Pkwy
Ste 405
Selma, AL 36701
Phone (334) 636-6262

905 Medical Center Pkwy
Selma, AL 36701
Phone (334) 874-6053

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19364/brand/1/csg/21/fhir/r4

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1063908325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 MEDICAL CENTER PKWY STE 401",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016712",
            "telephone_number": "334-875-7173",
            "fax_number": "334-875-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAUGHAN PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-920-7514"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vaughan OB Gyn Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vaughan OB Gyn Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Selma, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.