Individual provider Active NPI

Hunter Vaughn, NP

  • Family Nurse Practitioner
  • Madison, MS
National Provider Identifier
1740842426
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903401 Issued in MS
Practice address
203 Calhoun Station Parkway
Building 200, Suite H
Madison, MS 39110
Phone
(601) 668-3825
Fax
(601) 612-0509
NPI assigned
Jul 2, 2019
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903401 MS Primary

Addresses

Primary practice location

203 Calhoun Station Parkway
Building 200, Suite H
Madison, MS 39110

Mailing address

130 Lake Crest Drive
Madison, MS 39110
Phone (601) 668-3825

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190911003737 MS Practitioner - Nurse Practitioner 1355670647 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
McFatter Family Medical, LLCGroup PAC ID 0648678185, 8 clinicians
BW Medical LLCGroup PAC ID 0941653927, 7 clinicians
Jackson HB Medical Services LLCGroup PAC ID 6103273131, 50 clinicians

Practice addresses (Care Compare)

1896 Main St
Suite a
Madison, MS 39110-7676
Phone (601) 398-9886

203 Calhoun Station Pkwy
Suite H
Gluckstadt, MS 39110-5546
Phone (601) 612-0510

2100 Hwy 61 N
Vicksburg, MS 39183-8211
Phone (601) 883-1395

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

Merit-based Incentive Payment System (MIPS)

Final score
42.86 of 100Reported as group
Quality
0
Improvement activities
40
Cost
74.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903401MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson HB Medical Services LLC CurrentSince Oct 14, 2023 Accepting new patients
Mississippi Baptist Medical Center, Inc. CurrentSince Mar 20, 2023 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 25, 2025 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince May 1, 2023 Accepting new patients
Mississippi Baptist Medical Center, Inc. Current Accepting new patients
Terra Medical Group, LLC CurrentSince Mar 3, 2026 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 25, 2025 Accepting new patients
BW Medical LLC CurrentSince Feb 1, 2024 Accepting new patients
App of Mississippi Ed, LLC CurrentSince Oct 17, 2022 Accepting new patients
McFatter Family Medical, LLC CurrentSince Sep 10, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince May 1, 2023 Accepting new patients
Mississippi Baptist Medical Center, Inc CurrentSince Mar 20, 2023 Accepting new patients
Trustcare Primary Care, LLC Past Accepting new patients
Baptist Medical Center-Leake, Inc Past Accepting new patients

Locations

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000

203 Calhoun Station Pkwy
Ste H
Gluckstadt, MS 39110
Phone (601) 612-0510

7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

1190 N State St
Ste 502
Jackson, MS 39202
Phone (601) 944-1781

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

1520 Highland Colony Pkwy
Madison, MS 39110
Phone (601) 421-6189

1888 Main St
Ste C
Madison, MS 39110
Phone (601) 594-2609

1896 Main St
Ste A
Madison, MS 39110
Phone (769) 289-1114

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

Interoperability endpoints

  • Direct secure messaging: hunter.vaughn.1@19538.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1740842426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LAKE CREST DRIVE",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39110",
            "telephone_number": "601-668-3825",
            "fax_number": "601-612-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CALHOUN STATION PARKWAY",
            "address_2": "BUILDING 200, SUITE H",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39110",
            "telephone_number": "601-668-3825",
            "fax_number": "601-612-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "HUNTER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

Verify at the official NPI Registry.