Charlene Luecinda Vaughan, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R778046 Issued in MS

Practice address

111 Alabama St
Columbus, MS 39702-5220

Phone

(662) 570-4636

Fax

(662) 798-0191

NPI assigned

Sep 18, 2012

Last updated

Aug 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cindy Vaughan Other name

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cornerstonefamilymedicalcenter.charlenevaughan@151652.advancedmd-direct.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.

• Cornerstone Family Medical Center LLC

  • Family Medicine Physician
  • Columbus, MS
  • NPI 1255097333
  Medicare reassignment NPD
• Urgent Team Management of Golden Triangle, LLC

  • Primary Care Clinic/Center
  • Nashville, TN
  • NPI 1255767760
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital - Golden Triangle Inc.

  • General Acute Care Hospital
  • Columbus, MS
  • NPI 1609830173
  Care Compare affiliation

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1790035731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ALABAMA ST",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025220",
            "telephone_number": "662-570-4636",
            "fax_number": "662-798-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ALABAMA ST",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025220",
            "telephone_number": "662-570-4636",
            "fax_number": "662-798-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "CHARLENE",
        "middle_name": "LUECINDA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R778046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "VAUGHAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Donald Glyn Upton, O. D.
• Urology Center of Columbus PLLC
• Timothy G Usey, M.D.
• James Kent Usry, LCSW
• Richard C. Vallette, MD
• Mary Vaughn, DNP, FNP-C, PMHNP-C
• Vcncl, LLC (Vineyard Court Nursing Center)
• Veal Chiropractic Center PC
• Ankita Verma, MD
• Avery Villeret, MD

• Family Nurse Practitioner in Columbus, MS
• Providers in Columbus, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.