COURTNEY VAUGHAN (PA) – Physician Assistant, NPI 1376900563
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for COURTNEY VAUGHAN (PA)
2406 LIGHTHOUSE MANOR DR
GAINESVILLE, GA 305017401
Phone: (770) 536-4352
Fax: (770) 532-8165
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 4 Open Payments records for all available years, with a total value of $98.
Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Axonics, Inc. ($35).
Total Amount
$98
General + Research + Ownership
Payments
4
Total payment records
General Amount
$98
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2016-02-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160202001447 | I | Physician Assistant | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 69210 | Removal of impacted ear wax | 77 | 72 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 75 | 62 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 71 | 71 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 21 | 20 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 19 | 16 | $0 |
Insurance plans in this area (ZIP 30501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | GA | |
| - | GA | |
| General Surgery | GA | |
| O T O L A R Y N G O L O G Y | ME | |
| Qualified Audiologist | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| U R O L O G Y | GA | |
| General Surgery | GA |
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