Active NPI
Giselle Annarose de Guzman Vaughan, PA-C
- Physician Assistant
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110007140
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
- Sentara Princess Anne Hospital
- Sentara Obici Hospital
- Sentara Careplex Hospital
- Sentara Norfolk General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110007140 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Current | Accepting new patients | |
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Bayview Physician Services, PC | Current | 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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1508813387
-
- Radiology Clinic/Center
- Suffolk, VA
- NPI 1699865626
-
- Ambulatory Surgical Clinic/Center
- Suffolk, VA
- NPI 1568466209
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1528028396
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.