Rabia Lynne Vaughns, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

005609 Issued in GA

Practice address

3515 Braselton Hwy
BLDG E-2
Dacula, GA 30019-5926

Phone

(770) 614-6630

NPI assigned

Nov 13, 2007

Last updated

Aug 14, 2014By 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 2

Addresses

Other names 1

• Rabia Lynne Zalewski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 30, 2019 through Sep 30, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Life Progressive Health

  dba New Life Wellness with Rabia

  • Physician Assistant
  • Dacula, GA
  • NPI 1891234159
  NPD (past) Authorized official
• Hamilton Mill Family Complete Care

  • Family Nurse Practitioner
  • Dacula, GA
  • NPI 1629403571
  NPD (past)
• Neurospine Atlanta, LLC.

  • Interventional Pain Medicine Physician
  • Dacula, GA
  • NPI 1467134882
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1548440910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 BRASELTON HWY",
            "address_2": "BLDG E-2",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300195926",
            "telephone_number": "770-614-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 BRASELTON HWY",
            "address_2": "BLDG E-2",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300195926",
            "telephone_number": "770-614-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHNS",
        "first_name": "RABIA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "5609",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RABIA",
            "last_name": "ZALEWSKI",
            "middle_name": "LYNNE",
            "credential": "MMS, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Van Derhei Implant Prosthetics Dental LLC (VIP Family Dentistry)
• Wenona B Van Derhei, DDS
• Patrick Vanderhei, DDS, MSD
• Mykolas Varkalis, DMD
• Rolandine Vaughan, PAC
• Victory Eyecare LLC
• View Point Health
• View Point Health
• Village Pediatrics, PC
• Village Podiatry Group, LLC.

• Physician Assistant in Dacula, GA
• Providers in Dacula, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.