NPIMap

Individual provider Active NPI

Ray B. Vaughters Jr., M.D.

  • Family Medicine Physician
  • Aiken, SC
National Provider Identifier
1568401693
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
06286 Issued in SC
Practice address
39 Varden Dr
D
Aiken, SC 29803-5202
Phone
(803) 649-2501
Fax
(803) 641-6651
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 06286 SC Primary

Addresses

Primary practice location

39 Varden Dr
D
Aiken, SC 29803-5202

Mailing address

PO Box 2454
Aiken, SC 29802-2454
Phone (803) 649-2501

Other identifiers 1

IdentifierTypeStateIssuer
06286MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20100223000374 SC Practitioner - Family PracticePractitioner - General Practice 9537203989 Practice locations: Aiken, SC

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Tulane University School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

39 D Varden Dr
Aiken, SC 29803-5202

39 Varden Dr
D
Aiken, SC 29803-5202
Phone (803) 649-2501

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
06286SCMDFamily Medicine Physician

Hospital & facility affiliations 8

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1568401693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2454",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298022454",
            "telephone_number": "803-649-2501",
            "fax_number": "803-641-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 VARDEN DR",
            "address_2": "D",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035202",
            "telephone_number": "803-649-2501",
            "fax_number": "803-641-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHTERS",
        "first_name": "RAY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "06286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06286",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.