New Life Progressive Health

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5609 Issued in GA

Legal business name

NEW LIFE PROGRESSIVE HEALTH

Doing business as

New Life Wellness with Rabia

Practice address

3515 Braselton Hwy
Suite E-2
Dacula, GA 30019-5926

Phone

(706) 688-9355

NPI assigned

Feb 20, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Rabia L Vaughns, PA-CNPI 1548440910

Title

Owner

Phone

(706) 688-9355

Specialties & licenses 1

Addresses

Other names 1

• New Life Wellness with Rabia Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rabia Lynne Vaughns, PA-C

  • Physician Assistant
  • Dacula, GA
  • NPI 1548440910
  NPD (past) Authorized official

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1891234159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3472 OLD THOMPSON MILL RD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305195403",
            "telephone_number": "404-234-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 BRASELTON HWY",
            "address_2": "SUITE E-2",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300195926",
            "telephone_number": "706-688-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE PROGRESSIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "VAUGHNS",
        "authorized_official_first_name": "RABIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-688-9355",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "5609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Wellness with Rabia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physician Assistant in Dacula, GA
• Providers in Dacula, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.