Individual provider Active NPI

Michael Andrew Vaughn, DC

  • Neurology Chiropractor
  • Savannah, GA
National Provider Identifier
1871634667
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
4721 Issued in GA
Practice address
345 Commercial Dr
Savannah, GA 31406-3606
Phone
(912) 356-0031
Fax
(912) 356-5471
NPI assigned
Feb 12, 2007
Last updated
Oct 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 4721 GA Primary

Addresses

Primary practice location

345 Commercial Dr
Savannah, GA 31406-3606

Mailing address

345 Commercial Dr
Savannah, GA 31406-3606
Phone (912) 356-0031

Other identifiers 1

IdentifierTypeStateIssuer
000519109AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120201000694 GA Practitioner - Chiropractic 3779740816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

410 Mall Blvd
Suite a
Savannah, GA 31406-4820

410 Mall Blvd
Suite a
Savannah, GA 31406-4869
Phone (912) 356-0031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4721GAMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Clinic Inc. CurrentSince Dec 14, 1990 Accepting new patients
Bay Area Wellness Group PC PastSince Sep 30, 2025 Accepting new patients

Locations

340 Eisenhower Dr
Ste 1307
Savannah, GA 31406
Phone (912) 354-3911

345 Commercial Dr
Savannah, GA 31406
Phone (912) 356-0031

410 Mall Blvd
Ste A
Savannah, GA 31406
Phone (912) 356-0031

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1871634667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 COMMERCIAL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063606",
            "telephone_number": "912-356-0031",
            "fax_number": "912-356-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 COMMERCIAL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063606",
            "telephone_number": "912-356-0031",
            "fax_number": "912-356-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "GA",
            "license": "4721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000519109A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.