Vaxcare Georgia LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VAXCARE GEORGIA LLC

Practice address

989 Governors LN
Suite 160
Lexington, KY 40513-1173

Phone

(859) 514-5547

Fax

(859) 514-7084

NPI assigned

Mar 16, 2011

Organization subpart

No

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

Authorized official

Name

Casey Deloach

Title

President

Phone

(888) 829-8550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1154620110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 S ORANGE AVE",
            "address_2": "SUITE 117",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066946",
            "telephone_number": "888-829-8550",
            "fax_number": "888-843-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 GOVERNORS LN",
            "address_2": "SUITE 160",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131173",
            "telephone_number": "859-514-5547",
            "fax_number": "859-514-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAXCARE GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "DELOACH",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-829-8550"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John J Vaughan, MD
• Austin Casey Vaughn
• Latoya Burns Vaughn, MS, CADC
• Rebecca Vaughn
• Ashley Vaught, PHARMD
• Vaxclinic, LLC
• Tara Veach, IECE
• Angel Jose Velasco Urbina
• Hugo Alberto Velasquez
• Cynthia Velazquez, LMSW

• Family Medicine Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.