Active NPI
Linda Fontaine Vaughn
- Pharmacist
- Blue Ridge, GA
National Provider Identifier
1144871286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 016565
- Practice address
- 101 Riverstone Vis Ste 102
Blue Ridge, GA 30513-6630 - Phone
- (706) 258-4140
- NPI assigned
- Sep 20, 2019
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 016565 | GA | Primary |
Addresses
Primary practice location
101 Riverstone Vis Ste 102
Blue Ridge, GA 30513-6630
Mailing address
649 Sugar Creek Rd
Blue Ridge, GA 30513-4070
Phone (678) 410-3036
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
| License | State | Type | Specialty |
|---|---|---|---|
| 016565 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1144871286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "649 SUGAR CREEK RD",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305134070",
"telephone_number": "678-410-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 RIVERSTONE VIS STE 102",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305136630",
"telephone_number": "706-258-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "LINDA",
"middle_name": "FONTAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-20",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "016565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Ridge, GA
- Frank Stanson Trigg, M.D.
- Trilogy Integrated Health Care (RiverStone Medical Campus)
- United Rehab, Inc.
- Vicki L Van Deilen, M ED, LPC
- Rachel Lauren Van Horn, FNP-BC
- Janet Vollrath, RPT
- W. Max Couch, Jr., DDS, MDS, LLC
- Jennifer-Lynn Kaye Waddell
- Wal-Mart Stores East LP (WalMart Pharmacy 10-5812)
- Wal-Mart Stores East, LP (Walmart Vision Center 30-5812)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.