Individual provider Active NPI

Melissa J Smith Vaughn, FNP

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1730419474
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14588 Issued in TN
Practice address
979 E 3Rd St Ste B-601
Chattanooga, TN 37403-2136
Phone
(423) 316-2042
NPI assigned
Dec 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 14588 TN
Family Nurse Practitioner 363LF0000X RN206506 GA
Family Nurse Practitioner 363LF0000X 14588 TN Primary

Addresses

Primary practice location

979 E 3Rd St Ste B-601
Chattanooga, TN 37403-2136

Mailing address

1025 Cumberland Rd
Chattanooga, TN 37419-1000
Phone (423) 316-2042

Other practice location 1

1000 Tennesee 28
Jasper, TN 37347
Phone (423) 316-2042

Other practice location 2

2501 Citico Ave
Chattanooga, TN 37404-1127
Phone (423) 697-2000

Other identifiers 1

IdentifierTypeStateIssuer
14588OtherTNTN APN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100504000525 TN Practitioner - Nurse Practitioner 0446388961 Reassigns benefits to 4 organizations
I20100526000920 GA Practitioner - Nurse Practitioner 0446388961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TN, PCGroup PAC ID 3173989837, 144 clinicians

Practice addresses (Care Compare)

1000 TN-28
Tristar Parkridge West Hospital
Jasper, TN 37347-3638
Phone (423) 837-9500

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14588TNMDAdult Health Nurse Practitioner
RN206506GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Dec 19, 2015 Accepting new patients
Memorial Health Care System Inc. Current Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Cardiovascular Group, PC Current Accepting new patients
Memorial Health Care System, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Emergency Medicine Services of TN, PC Family CurrentSince Apr 1, 2023 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Chattanooga Gastroenterology, PC Nurse Practitioner Past Accepting new patients
Emergency Coverage Services, PC Nurse Practitioner Past Accepting new patients

Locations

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

60 Erlanger South Dr
Ringgold, GA 30736
Phone (706) 937-9292

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

979 E 3rd St
Ste B601
Chattanooga, TN 37403
Phone (423) 778-4408

2501 Citico Ave
Chattanooga, TN 37404
Phone (423) 697-2318

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

2051 Hamill Rd
Ste 204
Hixson, TN 37343
Phone (423) 870-2450

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 10

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 2

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": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1730419474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 CUMBERLAND RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374191000",
            "telephone_number": "423-316-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST STE B-601",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032136",
            "telephone_number": "423-316-2042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Tennesee 28",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "TN",
            "postal_code": "37347",
            "country_code": "US",
            "telephone_number": "423-316-2042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Citico Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374041127",
            "country_code": "US",
            "telephone_number": "423-697-2000",
            "fax_number": "423-697-2320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH VAUGHN",
        "first_name": "MELISSA",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-31",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "14588",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN206506",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN APN LICENSE",
            "identifier": "14588",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.