Individual provider Active NPI

Giselle Annarose de Guzman Vaughan, PA-C

  • Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1821573593
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110007140 Issued in VA
Practice address
816 Independence Blvd Ste 2H
Virginia Beach, VA 23455-6010
Phone
(757) 363-6850
Fax
(757) 822-6226
NPI assigned
Sep 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0110007140 VA Primary

Addresses

Primary practice location

816 Independence Blvd Ste 2H
Virginia Beach, VA 23455-6010

Mailing address

PO Box 7068
Portsmouth, VA 23707-0068
Phone (757) 686-3508

Other practice location 1

612 Kingsborough Sq Ste 100
Chesapeake, VA 23320-5041
Phone (757) 547-9294

Other practice location 2

4868 Bridge Rd Ste 370
Suffolk, VA 23435-2048
Phone (757) 686-9400

Other practice location 3

400 W Brambleton Ave Ste 104
Norfolk, VA 23510-1151
Phone (757) 627-7700

Other practice location 4

1708 Old Donation Pkwy
Virginia Beach, VA 23454-3064
Phone (757) 419-3000

Other practice location 5

2075 Glenn Mitchell Dr Ste 300
VA Beach, VA 23456-0179
Phone (757) 821-2825

Other names 1

  • Giselle Annarose D Vaughan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20201029000082 VA Practitioner - Physician Assistant 5092052357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

816 Independence Blvd
Virginia Beach, VA 23455-6010

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110007140VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Jun 1, 2024 Accepting new patients
Bayview Physician Services, PC CurrentSince Dec 1, 2020 Accepting new patients
Bayview Physician Services, PC CurrentSince Dec 1, 2020 Accepting new patients
Bayview Medical Center, Inc Past Accepting new patients

Locations

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

612 Kingsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 547-9294

400 W Brambleton Ave
Ste 104
Norfolk, VA 23510
Phone (757) 533-9642

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

4868 Bridge Rd
Ste 370
Suffolk, VA 23435
Phone (757) 686-9400

2075 Glenn Mitchell Dr
Ste 300
Virginia Beach, VA 23456
Phone (757) 821-2825

1708 Old Donation Pkwy
Virginia Beach, VA 23454
Phone (757) 395-5300

816 Independence Blvd
Ste 2H
Virginia Beach, VA 23455
Phone (757) 363-6850

Organizations & group practices 4

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 6

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": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1821573593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7068",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237070068",
            "telephone_number": "757-686-3508",
            "fax_number": "757-686-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 INDEPENDENCE BLVD STE 2H",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556010",
            "telephone_number": "757-363-6850",
            "fax_number": "757-822-6226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 Kingsborough Sq Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233205041",
            "country_code": "US",
            "telephone_number": "757-547-9294",
            "fax_number": "757-213-9342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4868 Bridge Rd Ste 370",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234352048",
            "country_code": "US",
            "telephone_number": "757-686-9400",
            "fax_number": "757-337-1049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W Brambleton Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235101151",
            "country_code": "US",
            "telephone_number": "757-627-7700",
            "fax_number": "757-627-3841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1708 Old Donation Pkwy",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543064",
            "country_code": "US",
            "telephone_number": "757-419-3000",
            "fax_number": "757-213-9377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2075 Glenn Mitchell Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "VA Beach",
            "state": "VA",
            "postal_code": "234560179",
            "country_code": "US",
            "telephone_number": "757-821-2825",
            "fax_number": "757-213-9377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "GISELLE",
        "middle_name": "ANNAROSE DE GUZMAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GISELLE",
            "last_name": "VAUGHAN",
            "middle_name": "ANNAROSE D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.