DR. SAMUEL FREDERICK VAUGHT (AUD) – Audiologist, NPI 1992706154

Audiologist

DR. SAMUEL FREDERICK VAUGHT (AUD) is a healthcare provider. based in Snellville, Georgia. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 3479 (GA). The NPI Number for DR. SAMUEL FREDERICK VAUGHT (AUD) is 1992706154

Main info

Male

Sole Proprietor

22 Years Of Experience

Accepts Medicare Assignment

Name

DR. SAMUEL FREDERICK VAUGHT (AUD)

NPI

1992706154

Phone

(770) 972-4327

Address

2176 OAK RD STE D

Enumeration Date

9 August 2005

Last Update Date

29 July 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

Graduation Year

2004 (22 years ago)

PAC ID

3971515289

Group Practice PAC ID

1052550407

Professional Enrollment ID

I20060630000187

Address ID

GA300782374SN2176XCXXX400

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness75

Years active:20State licenses:1Digital endpointsOther names

263 QUALIFIED AUDIOLOGIST in GA

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Provider Addresses for DR. SAMUEL FREDERICK VAUGHT (AUD)

2176 OAK RD STE D
SNELLVILLE, GA 300782374
Phone: (770) 972-4327
Fax: (770) 972-4101
Type: Mailing
100, Professional Place, Carrollton, Carroll County, Georgia, 30117, United States
STE 106
CARROLLTON, GA 301173874
Phone: (770) 834-9992
Fax: (770) 934-9942
Type: Mailing
181, Upper Riverdale Road, Sherwood Park, Riverdale, Clayton County, Georgia, 30236, United States
STE 1A
RIVERDALE, GA 302744919
Phone: (770) 996-2861
Fax: (770) 991-1604
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: 2006-06-30

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

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
I20060630000187	I	Qualified Audiologist	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
92557	Comprehensive hearing and speech recognition test	75	75	$0
92567	Test to assess middle ear function	19	19	$0

View full utilization report →

Insurance plans in this area (ZIP 30078)

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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: 1052550407View full group profile