Michael Allen Vaughn, PT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007305 Issued in GA

Practice address

1438 Suite C
Hwy 16 West
Griffin, GA 30223

Phone

(770) 584-6952

NPI assigned

Jul 28, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1740294446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2331",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302240059",
            "telephone_number": "770-584-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 SUITE C",
            "address_2": "HWY 16 WEST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "30223",
            "telephone_number": "770-584-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "PT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Arthur Van, M.D.
• Vicki Lyndall Van, M.D.
• Whitney Varner, PP,BS
• Vascular Wellness Center
• Amanda J Vaughn, PHARM D
• Glenn Ashleigh Veal
• Benjamin Thomas Veatch, PT, DPT
• Raja Vanditha Velaga
• Zeshan Velani, PA-C
• Sangeetha Venkataramanan

• Physical Therapist in Griffin, GA
• Providers in Griffin, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.