Active NPI
Korey Ann Vaughn
- Certified Registered Nurse Anesthetist
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26344
- Practice address
- 7 Independence PT Ste 300
Greenville, SC 29615-4569 - Phone
- (864) 522-3700
- Fax
- (864) 522-3705
- NPI assigned
- Apr 3, 2020
- Last updated
- Aug 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26344 | SC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
7 Independence PT Ste 300
Greenville, SC 29615-4569
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 855-8603
Other practice location 1
421 N 21st Ave
Hollywood, FL 33020-4013
Phone (305) 889-3899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients |
Locations
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602
7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
dba GHS Pih Dba Umg GVL Anesthes
- Anesthesiology Physician
- Greenville, SC
- NPI 1528465374
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Prisma Health Oconee Memorial Hospital
- General Acute Care Hospital
- Seneca, SC
- NPI 1063968196
-
dba Prisma Health Center For Family Medicine-Oconee
- Clinic/Center
- Seneca, SC
- NPI 1407345846
Hospital
-
dba Prisma Health Oconee Pain Management
- Pain Clinic/Center
- Seneca, SC
- NPI 1891237632
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1497384291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-855-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 INDEPENDENCE PT STE 300",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154569",
"telephone_number": "864-522-3700",
"fax_number": "864-522-3705"
}
],
"practiceLocations": [
{
"address_1": "421 N 21st Ave",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330204013",
"country_code": "US",
"telephone_number": "305-889-3899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAUGHN",
"first_name": "KOREY",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-03",
"last_updated": "2022-08-19",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "26344",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.