NPIMap

Organization Active NPI

Vaughan Physician Practices, LLC

  • Rural Health Clinic/Center
  • Selma, AL
National Provider Identifier
1104763226
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
VAUGHAN PHYSICIAN PRACTICES, LLC
Practice address
913 Medical Center Pkwy
Selma, AL 36701-6746
Phone
(334) 418-6700
Fax
(833) 450-1517
NPI assigned
Apr 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Johnetta Traylor
Title
Administrator
Phone
(502) 596-6063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

913 Medical Center Pkwy
Selma, AL 36701-6746

Mailing address

913 Medical Center Pkwy
Selma, AL 36701-6746
Phone (334) 418-6700

Other names 1

  • Primary Health Solutions Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2300511Primary Health Solutions913 Medical Center Parkway, Selma, AL 36701Certificate of waiverMar 11, 2028

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.

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1104763226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 MEDICAL CENTER PKWY",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016746",
            "telephone_number": "334-418-6700",
            "fax_number": "833-450-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 MEDICAL CENTER PKWY",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016746",
            "telephone_number": "334-418-6700",
            "fax_number": "833-450-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAUGHAN PHYSICIAN PRACTICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "JOHNETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "502-596-6063"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Health Solutions",
            "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 Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.