Active NPI
Michael Andrew Vaughn, DC
- Neurology Chiropractor
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 4721
- 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, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000519109A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4721 | GA | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savannah Clinic Inc. | Current | Accepting new patients | |
| Bay Area Wellness Group PC | Past | 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.
-
dba Savannah Chiropractic Center
- Primary Care Clinic/Center
- Savannah, GA
- NPI 1891066072
-
- Chiropractor
- Crofton, MD
- NPI 1184139487
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.