NPIMap

Individual provider Active NPI

Joel Fuller Vaughan, MD

  • Internal Medicine Physician
  • Charleston, SC
National Provider Identifier
1457305104
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23927 Issued in SC
Practice address
109 Bee St
Charleston, SC 29401-5703
Phone
(843) 577-5011
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 23927 SC
Internal Medicine Physician 207R00000X 23927 SC Primary

Addresses

Primary practice location

109 Bee St
Charleston, SC 29401-5703

Mailing address

2200 Sandpiper Rd
Virginia Beach, VA 23456-4620
Phone (843) 556-9785

Other identifiers 1

IdentifierTypeStateIssuer
239272MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230921003448 NC Practitioner - Internal Medicine 3072516079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Carolina School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10211 Alm St
Suite 1100
Raleigh, NC 27617-8221
Phone (919) 620-5333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Internal Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Internal Medicine CurrentSince Oct 9, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Oct 9, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. Past Accepting new patients

Locations

100 Duke Health Cary Pl
Ste 110
Cary, NC 27519
Phone (919) 385-4855

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

267 S Churton St
Ste 200
Hillsborough, NC 27278
Phone (919) 471-9622

401 Irving Pkwy
Ste 110
Holly Springs, NC 27540
Phone (919) 385-3022

162 Legacy Oaks Dr
Knightdale, NC 27545
Phone (919) 373-1800

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

10211 Alm St
Raleigh, NC 27617
Phone (919) 206-4868

10211 Alm St
Ste 1100
Raleigh, NC 27617
Phone (919) 385-1160

7021 Harps Mill Rd
Raleigh, NC 27615
Phone (919) 823-5446

3000 Rogers Rd
Ste 100
Wake Forest, NC 27587
Phone (919) 367-1729

Interoperability endpoints

  • Direct secure messaging: jvaughan557935@direct.medicine.duke.edu

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.

Hospital & facility affiliations 8

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1457305104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SANDPIPER RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564620",
            "telephone_number": "843-556-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BEE ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294015703",
            "telephone_number": "843-577-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "JOEL",
        "middle_name": "FULLER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "23927",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "23927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239272",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.