Organization Active NPI

Vaughn Chiropractic LLC

  • Chiropractor
  • Dallas, GA
National Provider Identifier
1588025944
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO007531 Issued in GA
Legal business name
VAUGHN CHIROPRACTIC LLC
Practice address
3754 Hiram Acworth Hwy
Suite a
Dallas, GA 30157-3275
Phone
(770) 443-0090
Fax
(770) 443-0070
NPI assigned
Mar 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Dr. Jason Patrick Vaughn, DCNPI 1346445426
Title
Owner/ Chiropractor
Phone
(770) 443-0090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIRO007531 GA Primary

Addresses

Primary practice location

3754 Hiram Acworth Hwy
Suite a
Dallas, GA 30157-3275

Mailing address

3754 Hiram Acworth Hwy
Suite a
Dallas, GA 30157-3275
Phone (770) 443-0090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160527000690 GA Part B Supplier - Clinic/Group Practice 4688964992 Receives reassigned benefits from 1 practitioner
Practice locations: Acworth, GA

National Provider Directory

National Provider Directory

Locations

3754 Hiram Acworth Hwy
Ste A
Dallas, GA 30157
Phone (770) 430-0090

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1588025944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3754 HIRAM ACWORTH HWY",
            "address_2": "SUITE A",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301573275",
            "telephone_number": "770-443-0090",
            "fax_number": "770-443-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 HIRAM ACWORTH HWY",
            "address_2": "SUITE A",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301573275",
            "telephone_number": "770-443-0090",
            "fax_number": "770-443-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAUGHN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "770-443-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO007531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.