Individual provider Active NPI

Rhonda L Vaughn, R.N.

  • Certified Registered Nurse Anesthetist
  • Woodstock, GA
National Provider Identifier
1386920700
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN141904 Issued in GA
Practice address
229 Stone Park Dr
Woodstock, GA 30188
Phone
(770) 617-0384
Fax
(770) 726-7781
NPI assigned
Oct 31, 2011
Last updated
Jul 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN141904 GA Primary

Addresses

Primary practice location

229 Stone Park Dr
Woodstock, GA 30188

Mailing address

229 Stone Park Dr
Woodstock, GA 30188-1625
Phone (770) 617-0384

Other identifiers 1

IdentifierTypeStateIssuer
794223724BMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170921003880 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901102797 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians

Practice addresses (Care Compare)

1557 Janmar Rd
Snellville, GA 30078-5686
Phone (678) 344-8900

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.66 of 100Reported as group
Quality
69.85
Promoting interoperability
100
Improvement activities
40
Cost
75.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN141904GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Gynecology PC CurrentSince Mar 28, 2022 Accepting new patients
Advanced Urology Institute of Georgia, LLC CurrentSince Mar 28, 2022 Accepting new patients
Advanced Gynecology PC CurrentSince Mar 28, 2022 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Mar 29, 2022 Accepting new patients
Advanced Urology Anesthesia, LLC CurrentSince Mar 28, 2022 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 21, 2022 Accepting new patients
Concordia Anesthesiology, Inc CurrentSince Apr 1, 2022 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Feb 21, 2022 Accepting new patients
Advanced Urology Institute of Georgia, LLC CurrentSince Mar 28, 2022 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Aug 1, 2017 Accepting new patients
Surgery Center of Lawrenceville Past Accepting new patients
Advanced Gynecology PC PastSince Mar 28, 2022 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

2711 Irvin Way
Decatur, GA 30030
Phone (404) 869-2596

2711 Irvin Way
Ste 101
Decatur, GA 30030

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

10730 Medlock Bridge Rd
Ste 120
Johns Creek, GA 30097

501 Crownpointe Way
Ste 100
Lawrenceville, GA 30046
Phone 6783448900101

1371 Church Street Ext NE
#100
Marietta, GA 30060

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132

11660 Alpharetta Hwy
Ste 710
Roswell, GA 30076
Phone (404) 495-5394

11660 Alpharetta Hwy
Ste 720
Roswell, GA 30076
Phone 6783448900156

11660 Alpharetta Hwy
Ste 730
Roswell, GA 30076
Phone 6783448900156

1100 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 255-9096

1450 S Johnson Ferry Rd
Ste 100
Sandy Springs, GA 30319
Phone 6783448900156

5671 Ptree Dunwoody Rd NE
Ste 680
Sandy Springs, GA 30342
Phone (404) 705-6985

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

4441 Atlanta Rd SE
Ste 312
Smyrna, GA 30080
Phone (470) 956-4200

1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421

1800 Tree Ln
Ste 280
Snellville, GA 30078
Phone (404) 919-4876

4275 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (678) 475-1606

1357 Oconee Connector
Watkinsville, GA 30677
Phone (248) 988-3550

1357 Oconee Connector
Ste 102
Watkinsville, GA 30677
Phone 6783448900156

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1386920700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 STONE PARK DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301881625",
            "telephone_number": "770-617-0384",
            "fax_number": "770-726-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 STONE PARK DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30188",
            "telephone_number": "770-617-0384",
            "fax_number": "770-726-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "RHONDA",
        "middle_name": "L",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN141904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "794223724B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.