Mary Vaughn, DNP, FNP-C, PMHNP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2024043303 Issued in MS

Practice address

3600 Bluecutt Rd Ste 201
Columbus, MS 39705-1397

Phone

(662) 329-3973

Fax

(662) 329-9056

NPI assigned

Aug 4, 2014

Last updated

Aug 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mary Jackson Former name

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dutch Medical Clinics, IncGroup PAC ID 9234376088, 28 clinicians

Tyler Holmes Memorial HospitalGroup PAC ID 0345142618, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tyler Holmes Memorial Hospital Cah Hospital, Winona, MS, CCN 251312

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.vaughn.1@17762.direct.athenahealth.com

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.

• Dutch Medical Clinics, Inc

  dba Allegro Family Clinics

  • Multi-Specialty Clinic/Center
  • Columbus, MS
  • NPI 1215276175
  Medicare reassignment Care Compare group NPD
• Tyler Holmes Memorial Hospital

  dba Winona Fmaily Practice

  • Rural Health Clinic/Center
  • Winona, MS
  • NPI 1285649855
  Medicare reassignment Care Compare group NPD
• Mississippi Baptist Medical Center, Inc.

  dba MBMC - Neuro Hospitalists

  • Neurology Physician
  • Jackson, MS
  • NPI 1467589556
  Medicare reassignment NPD
• Rapid Track Urgent Care LLC

  • Urgent Care Clinic/Center
  • Grenada, MS
  • NPI 1003529652
  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment NPD
• Mississippi Baptist Medical Center, Inc

  dba MBMC-Hospitalists

  • Hospitalist Physician
  • Jackson, MS
  • NPI 1962867093
  NPD
• Mississippi Baptist Medical Center, Inc.

  • Community/Retail Pharmacy
  • Jackson, MS
  • NPI 1255882890
  NPD
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD
• Tyler Holmes Memorial Hospital

  dba Tyler Holmes Kilmichael Clinic

  • Family Nurse Practitioner
  • Kilmichael, MS
  • NPI 1346084985
  NPD
• Tyler Holmes Memorial Hospital

  • Rural Health Clinic/Center
  • Winona, MS
  • NPI 1730367459
  NPD (past)

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

• Tyler Holmes Memorial Hospital

  • Critical Access Hospital
  • Winona, MS
  • NPI 1205868627
  Care Compare affiliation

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1497164446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 BLUECUTT RD STE 103",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 BLUECUTT RD STE 201",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051397",
            "telephone_number": "662-329-3973",
            "fax_number": "662-329-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "MARY",
        "credential": "DNP, FNP-C, PMHNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0996054-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "F0614908",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "2024043303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "JACKSON",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Urology Center of Columbus PLLC
• Timothy G Usey, M.D.
• James Kent Usry, LCSW
• Richard C. Vallette, MD
• Charlene Luecinda Vaughan, NP
• Vcncl, LLC (Vineyard Court Nursing Center)
• Veal Chiropractic Center PC
• Ankita Verma, MD
• Avery Villeret, MD
• Robert D Voller, MD

• Psychiatric/Mental Health Nurse Practitioner in Columbus, MS
• Providers in Columbus, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.

Verify at the official NPI Registry.