Individual provider Active NPI

Barry Richard Vaughn, MD

  • Orthopaedic Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1699769059
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
28151 Issued in TN
Practice address
935 Spring Creek Rd
Suite 200
Chattanooga, TN 37412-3993
Phone
(423) 664-4787
Fax
(423) 664-4784
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 28151 TN Primary
Orthopaedic Surgery Physician 207X00000X 042470 GA

Addresses

Primary practice location

935 Spring Creek Rd
Suite 200
Chattanooga, TN 37412-3993

Mailing address

935 Spring Creek Rd
Suite 200
Chattanooga, TN 37412-3993
Phone (423) 664-4787

Other identifiers 2

IdentifierTypeStateIssuer
00718814AMedicaidGA
38067151OtherTNMCR ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090609000601 TN Practitioner - Orthopedic Surgery 2668498825 Practice locations: Chattanooga, TN
O20101110000900 TN DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9335299510 Practice locations: Chattanooga, TN

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
East Tennessee State University Quillen College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

935 Spring Creek Rd
Chattanooga, TN 37412-3995
Phone (423) 664-4787

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Spinal fusion32
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)14
Laminectomy or laminotomy (partial removal of spine bones)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042470GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vaughn Orthopedic and Spine Center, PLLC Orthopaedic Surgery CurrentSince Jan 1, 1990 Accepting new patients
Battlefield Orthopedics PC Orthopaedic Surgery PastSince Oct 18, 2005 Accepting new patients

Locations

935 Spring Creek Rd
Ste 200
East Ridge, TN 37412
Phone (423) 664-4787

Interoperability endpoints

  • Direct secure messaging: barryvaughn@vosc.allscriptsdirect.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 3

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1699769059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 SPRING CREEK RD",
            "address_2": "SUITE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123993",
            "telephone_number": "423-664-4787",
            "fax_number": "423-664-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 SPRING CREEK RD",
            "address_2": "SUITE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123993",
            "telephone_number": "423-664-4787",
            "fax_number": "423-664-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "BARRY",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "28151",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "042470",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00718814A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR ID",
            "identifier": "38067151",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.