Active NPI
Kory Greggs Vaughn, M.D.
- Emergency Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MT197942
- Practice address
- 640 N Broad St
Apt 101
Philadelphia, PA 19130-3420 - Phone
- (678) 596-4621
- NPI assigned
- Sep 7, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MT197942 | PA | Primary |
Addresses
Primary practice location
640 N Broad St
Apt 101
Philadelphia, PA 19130-3420
Mailing address
640 N Broad St
Apt 101
Philadelphia, PA 19130-3420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Morehouse School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 253-1912
Hospital & facility affiliations
- Piedmont Newnan Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT197942 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Regional Physicians Management Group, LLC | Current | Accepting new patients | |
| Coweta Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Angelfish Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Hahnemann University Hospital | Emergency Medicine | Past | Accepting new patients |
Locations
5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
2160 Fountain Dr
Snellville, GA 30078
Phone (770) 982-1111
1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Newnan, GA
- NPI 1245556588
-
- Emergency Medicine Physician
- Covington, GA
- NPI 1407259500
-
- Surgery Physician
- Riverdale, GA
- NPI 1043677271
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1982924460
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359936000000",
"number": "1407105232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 N BROAD ST",
"address_2": "APT 101",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191303420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 N BROAD ST",
"address_2": "APT 101",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191303420",
"telephone_number": "678-596-4621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "KORY",
"middle_name": "GREGGS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-07",
"last_updated": "2013-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MT197942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.