Active NPI
Ciara Jade Vaughn, CSFA
- Surgical Assistant
- Athens, GA
National Provider Identifier
1508740572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 201508
- Practice address
- 245 Floyd Dr
Athens, GA 30607-1469 - Phone
- (762) 356-4780
- Fax
- (706) 608-7597
- NPI assigned
- Aug 4, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 201508 | GA | Primary |
Addresses
Primary practice location
245 Floyd Dr
Athens, GA 30607-1469
Mailing address
3009 Hudson Rivers Church Rd
Danielsville, GA 30633-2015
Phone (706) 983-2273
Other practice location 1
1740 Lions Club Rd
Madison, GA 30650-4762
Phone (706) 983-2273
Other practice location 2
1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 983-2273
Other practice location 3
1230 Baxter St
Athens, GA 30606-3712
Phone (706) 983-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201508 | GA | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1508740572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 HUDSON RIVERS CHURCH RD",
"city": "DANIELSVILLE",
"state": "GA",
"postal_code": "306332015",
"telephone_number": "706-983-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 FLOYD DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306071469",
"telephone_number": "762-356-4780",
"fax_number": "706-608-7597"
}
],
"practiceLocations": [
{
"address_1": "1740 Lions Club Rd",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "GA",
"postal_code": "306504762",
"country_code": "US",
"telephone_number": "706-983-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1199 Prince Ave",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306062797",
"country_code": "US",
"telephone_number": "706-983-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1230 Baxter St",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306063712",
"country_code": "US",
"telephone_number": "706-983-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAUGHN",
"first_name": "CIARA",
"middle_name": "JADE",
"name_prefix": "Mrs.",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-04",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "GA",
"license": "201508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.