Individual provider Active NPI

Robert Vaughn

  • Surgery Physician
  • Albemarle, NC
National Provider Identifier
1942291232
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
24953 Issued in NC
Practice address
105 Yadkin St
Suite 203
Albemarle, NC 28001-3449
Phone
(980) 323-5300
NPI assigned
Nov 4, 2005
Last updated
Nov 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 24953 NC Primary

Addresses

Primary practice location

105 Yadkin St
Suite 203
Albemarle, NC 28001-3449

Mailing address

105 Yadkin St
Albemarle, NC 28001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority Surgery CurrentSince Apr 25, 2016 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 22, 2016 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 22, 2016 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Apr 25, 2016 Accepting new patients
Surgical Specialists of Charlotte, P.a. Surgery Past Accepting new patients
Charlotte Trauma Services, PLLC Past Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Past Accepting new patients

Locations

105 Yadkin St
Ste 203
Albemarle, NC 28001
Phone (704) 403-2760

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1585 Forney Creek Pkwy
Denver, NC 28037
Phone (704) 801-1760

1585 Forney Creek Pkwy
Ste 2200
Denver, NC 28037
Phone (704) 951-8444

441 McAlister Rd
Ste 2100
Lincolnton, NC 28092
Phone (980) 212-6250

447 McAlister Rd
Ste 1600
Lincolnton, NC 28092
Phone (980) 212-2000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1942291232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 YADKIN ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "28001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 YADKIN ST",
            "address_2": "SUITE 203",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013449",
            "telephone_number": "980-323-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "24953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.