Brennan Foster Vaughn, PA-C

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

PA00323 Issued in MS

Practice address

1420 Raymond Rd
Jackson, MS 39204-4358

Phone

(601) 387-3400

NPI assigned

Feb 15, 2017

Last updated

Apr 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Gluckstadt TC Kids, LLC

  • Pediatrics Physician
  • Madison, MS
  • NPI 1255947297
  Medicare reassignment
• McFatter Family Medical, LLC

  • Urgent Care Clinic/Center
  • Ridgeland, MS
  • NPI 1811660293
  Medicare reassignment
• Trustcare Health, LLC

  dba Trust Care Health

  • Family Medicine Physician
  • Ridgeland, MS
  • NPI 1427338235
  Medicare reassignment
• First Intermed Corporation

  dba MEA Medical Clinics

  • Family Medicine Physician
  • Ridgeland, MS
  • NPI 1346275310
  NPD

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1689113250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 RAYMOND RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044358",
            "telephone_number": "601-387-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 RAYMOND RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044358",
            "telephone_number": "601-387-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "BRENNAN",
        "middle_name": "FOSTER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-15",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00323",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "MS",
            "license": "PA00323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Vargas
• Elliot Thomas Varney, MD, PHD
• Neha Varshney, MD
• Ananya Vasudhar
• Kathryn (Katy) Gholson Vaughan, M.S., CCC-SLP
• Cynthia A Vaughn, M.D.
• Jonathan W Vaughn, CRNA
• Joy Vaughn, FNP
• Kristina Denise Vaughn, M.D.
• Malik Sanchez Vaughn, MSW, PCMHT

• Military Health Care Provider in Jackson, MS
• Providers in Jackson, MS by specialty
• Military Health Care Provider in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.