Individual provider Active NPI

Lindsey Dewitt Vaughn, MD

  • Family Medicine Physician
  • Suffolk, VA
National Provider Identifier
1649271024
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101045488 Issued in VA
Practice address
2050 Hillpoint Blvd N
Suffolk, VA 23434-7181
Phone
(757) 934-3434
Fax
(757) 538-9038
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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 0101045488 VA Primary

Addresses

Primary practice location

2050 Hillpoint Blvd N
Suffolk, VA 23434-7181

Mailing address

2050 Hillpoint Blvd N
Suffolk, VA 23434-7181
Phone (757) 934-3434

Other identifiers 1

IdentifierTypeStateIssuer
005651131MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111013000006 VA Practitioner - Family Practice 9133391360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

114 N Main St
Suffolk, VA 23434-4564
Phone (757) 934-1003

1401 N High St
Franklin, VA 23851-1244
Phone (757) 516-8130

2760 Godwin Blvd
Suite 100
Suffolk, VA 23434-8501
Phone (757) 983-8650

3920 A Bridge Rd
Suffolk, VA 23435-1107

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

  • Sentara Home Care Services-Suffolk Home health agency, Suffolk, VA, CCN 497746
  • Lake Prince at Home LLC Home health agency, Suffolk, VA, CCN 497763
  • Albemarle Home Care and Hospice Home health agency, Elizabeth City, NC, CCN 347017
  • Amedisys Home Health of Newport News Home health agency, Hampton, VA, CCN 497091
  • Southampton Memorial Home Health Home health agency, Franklin, VA, CCN 497463
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions13
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101045488VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Associates Family Medicine CurrentSince Jun 12, 2013 Accepting new patients

Locations

2050 Hillpoint Blvd N
Suffolk, VA 23434
Phone (757) 290-6190

Interoperability endpoints

  • Direct secure messaging: lvaughn19933@direct.sentara.net

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 and National Provider Directory roles.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1649271024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 HILLPOINT BLVD N",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234347181",
            "telephone_number": "757-934-3434",
            "fax_number": "757-538-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 HILLPOINT BLVD N",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234347181",
            "telephone_number": "757-934-3434",
            "fax_number": "757-538-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "LINDSEY",
        "middle_name": "DEWITT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101045488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005651131",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.