DR. CANDACE FREDERICK VAUGHN (MD) – Family Medicine Physician, NPI 1427054923

DR. CANDACE FREDERICK VAUGHN (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 040809 (GA). The NPI Number for DR. CANDACE FREDERICK VAUGHN (MD) is 1427054923

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. CANDACE FREDERICK VAUGHN (MD)
NPI
1427054923
Phone
(404) 364-7070
Address
3495 PIEDMONT ROAD, NE
Enumeration Date
21 June 2005
Last Update Date
13 April 2022

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4043647206
Graduation Year
1994 (32 years ago)
PAC ID
7315089968
Group Practice PAC ID
6204829013
Professional Enrollment ID
I20100121000053
Address ID
GA303051729AT3495XNEXX400
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,102 FAMILY PRACTICE in GA

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Provider Addresses for DR. CANDACE FREDERICK VAUGHN (MD)

  • Piedmont Road Northeast, Buckhead, Atlanta, Georgia, 30305, United States

    NINE PIEDMONT CENTER

    ATLANTA, GA 30305

    Phone: (404) 364-7070

    Fax: (478) 218-0839

    Type: Mailing

  • Kaiser Permanente TownPark Comprehensive Medical Center, 750, Townpark Lane Northwest, Kennesaw, Georgia, 30144, United States

    KAISER PERMANENTE TOWNPARK COMPREHENSIVE MEDICAL CENTER

    KENNESAW, GA 30144

    Phone: (770) 514-5401

    Fax: (478) 218-0839

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-01-21

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
I20100121000053IFamily PracticeGATBD

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
91320Sarscv2 vac 30mcg trs-suc im2727$0
90480Admn sarscov2 vacc 1 dose2525$0
View full utilization report →

Insurance plans in this area (ZIP 30305)

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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: 6204829013View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. CANDACE FREDERICK VAUGHN (MD)?
DR. CANDACE FREDERICK VAUGHN (MD) — NPI 1427054923 — is the standard way to identify this listing.
Is DR. CANDACE FREDERICK VAUGHN (MD) still practicing?
DR. CANDACE FREDERICK VAUGHN (MD) is currently listed as active in the public NPI registry.
What is DR. CANDACE FREDERICK VAUGHN (MD)'s specialty?
The listing groups DR. CANDACE FREDERICK VAUGHN (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. CANDACE FREDERICK VAUGHN (MD) based?
DR. CANDACE FREDERICK VAUGHN (MD) is tied to Atlanta, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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