NPIMap

Individual provider Active NPI

Mary Bell Hancock Vaughn, M.D.

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1497710750
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
049552 Issued in GA
Practice address
3448 Vineville Ave
Macon, GA 31204-1867
Phone
(478) 405-0045
Fax
(478) 405-0054
NPI assigned
Apr 19, 2006
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 049552 GA Primary

Addresses

Primary practice location

3448 Vineville Ave
Macon, GA 31204-1867

Mailing address

3448 Vineville Ave
Macon, GA 31204-1867
Phone (478) 405-0045

Other practice location 1

147 James St
Gray, GA 31032-6358
Phone (478) 405-0045

Other practice location 2

506 Osigian Blvd Ste 4
Warner Robins, GA 31088-8985
Phone (478) 405-0045

Other practice location 3

1028 Keith Dr
Perry, GA 31069-2947
Phone (478) 405-0045

Other identifiers 3

IdentifierTypeStateIssuer
049552OtherGAMEDICAL LICENSE
1497710750OtherGANPI
00960165AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040603000023 GA Practitioner - Internal Medicine 0143113902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Mercer University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vineville Internal Medicine LLCGroup PAC ID 0941281711, 25 clinicians

Practice addresses (Care Compare)

3448 Vineville Ave
Macon, GA 31204-1867
Phone (478) 405-0045

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
049552GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vineville Internal Medicine LLC Internal Medicine CurrentSince Jul 1, 1966 Accepting new patients
Magna Care Medical Specialists LLC CurrentSince Jul 31, 2016 Accepting new patients

Locations

147 James St
Gray, GA 31032
Phone (478) 405-0045

3448 Vineville Ave
Macon, GA 31204
Phone (478) 405-0045

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

657 Hemlock St
Ste 220
Macon, GA 31201
Phone (478) 741-7241

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

506 Osigian Blvd
Ste 4
Warner Robins, GA 31088
Phone (478) 405-0045

Interoperability endpoints

  • Direct secure messaging: marybell.vaughn@vineville.eclinicaldirectplus.com

Organizations & group practices 2

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 11

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1497710750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041867",
            "telephone_number": "478-405-0045",
            "fax_number": "478-405-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041867",
            "telephone_number": "478-405-0045",
            "fax_number": "478-405-0054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 James St",
            "address_purpose": "LOCATION",
            "city": "Gray",
            "state": "GA",
            "postal_code": "310326358",
            "country_code": "US",
            "telephone_number": "478-405-0045",
            "fax_number": "478-405-0054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "506 Osigian Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310888985",
            "country_code": "US",
            "telephone_number": "478-405-0045",
            "fax_number": "478-405-0054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1028 Keith Dr",
            "address_purpose": "LOCATION",
            "city": "Perry",
            "state": "GA",
            "postal_code": "310692947",
            "country_code": "US",
            "telephone_number": "478-405-0045",
            "fax_number": "478-405-0054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "MARY BELL",
        "middle_name": "HANCOCK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "049552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "049552",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497710750",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00960165A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.