JUSTIN VAUGHAN (M.D.) – Student in an Organized Health Care Education/Training Program, NPI 1083025886

JUSTIN VAUGHAN (M.D.) is a healthcare provider. based in Macon, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. The NPI Number for JUSTIN VAUGHAN (M.D.) is 1083025886

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN VAUGHAN (M.D.)
NPI
1083025886
Phone
(478) 633-8115
Address
777 HEMLOCK ST
Enumeration Date
14 May 2014
Last Update Date
9 November 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
8067431810
Graduation Year
2014 (12 years ago)
PAC ID
5496075681
Group Practice PAC ID
4385549674
Professional Enrollment ID
I20200713000958
Address ID
TX794101805LU4102XSTXX303

Contacts

Secure Messaging
justin.vaughan@direct.myteamcare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:12State licenses:0Other namesUpdated within 12 months

1,092 GENERAL SURGERY in GA

Provider Addresses for JUSTIN VAUGHAN (M.D.)

  • 777 HEMLOCK ST

    MSC 140

    MACON, GA 312012102

    Phone: (478) 633-8115

    Fax: (478) 633-5127

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $129.

Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.

Last reported payment date: 2024-04-26 • Largest payer in this snapshot: ABBVIE INC. ($69).

Total Amount

$129

General + Research + Ownership

Payments

6

Total payment records

General Amount

$129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200713000958IGeneral SurgeryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8842$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes3838$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3131$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1613$0
44120Partial removal of small bowel with reconnection1311$0
View full utilization report →

Insurance plans in this area (ZIP 31201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385549674View full group profile
NameSpecialtyState
Interventional CardiologyPA
A N E S T H E S I O L O G YTX
-TX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Family PracticeTX
Certified Registered Nurse Anesthetist (Crna)TX
-TX
-TX

Reviews

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Frequently asked questions

What federal number belongs to JUSTIN VAUGHAN (M.D.)?
The federal identifier for JUSTIN VAUGHAN (M.D.) is NPI 1083025886.
Is JUSTIN VAUGHAN (M.D.) currently active in the NPI registry?
CMS-published data lists JUSTIN VAUGHAN (M.D.) as an active registrant.
Does JUSTIN VAUGHAN (M.D.) list a primary specialty?
If you are matching referrals, note Student in an Organized Health Care Education/Training Program for JUSTIN VAUGHAN (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place JUSTIN VAUGHAN (M.D.)?
The snapshot lists Macon, Georgia for JUSTIN VAUGHAN (M.D.); download NPPES for the complete set.
What if Macon, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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