Michael Severson Vaughn, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10125 Issued in AL

Practice address

1 W Lakeshore Dr Ste 100
Birmingham, AL 35209-7271

Phone

(205) 930-2950

Fax

(205) 930-2957

NPI assigned

Dec 11, 2006

Last updated

Sep 30, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• bcbs alabama network 01H0
• bcbs alabama network 01C0
• bcbs alabama network 01I0
• bcbs alabama network 01E0
• bcbs alabama network 01B0
• bcbs alabama network 01G0

Interoperability endpoints

• Direct secure messaging: michael.vaughn.1@17217.direct.athenahealth.com

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.

• Med Help 280 LLC

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1174681654
  Medicare reassignment NPD
• Medhelp Shelby, LLC

  • Family Medicine Physician
  • Pelham, AL
  • NPI 1053832089
  Medicare reassignment NPD
• Med Help PC

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1083772560
  Medicare reassignment

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1730249525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W LAKESHORE DR STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097271",
            "telephone_number": "205-930-2950",
            "fax_number": "205-930-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W LAKESHORE DR STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097271",
            "telephone_number": "205-930-2950",
            "fax_number": "205-930-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "MICHAEL",
        "middle_name": "SEVERSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "10125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051010858",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tom Brooks Vaughan Jr., MD
• Casey Vaughn, CRNP
• Emily Vaughn, CRNP
• Jordan Frank Vaughn, M.D.
• Kellie Vaughn, CRNP
• Sabrina Vaughn
• Samantha Vaughn, DRT
• Sophia Vaughn
• Brian James Vavrek
• Rocio Vazquez DO Campo

• Family Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.