REBECCA YOUNGBLOOD VAUGHN (NPI# 1396754222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396754222 |
| Entity Type | Individual |
| Full Name | REBECCA YOUNGBLOOD VAUGHN |
| Credential | M.D. |
| Practice Address |
148 Bill Carruth Pkwy Ste 280 Hiram GA 30141-3754 |
| Mailing Address |
148 Bill Carruth Pkwy Suite 280 Hiram GA 30141-3754 |
| Practice Telephone | 6783633343 |
| Practice Fax Number | 6783633380 |
| Mailing Telephone | 6783633343 |
| Mailing Fax Number | 6783633380 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2009-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 033899 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417037441 | Rebecca Lynn Vaughn | Social Worker | 9310 Broadway St Ste 104 Bldg II, San Antonio, TX 78217-5919 | 2006-10-16 |
| 1508414178 | Rebecca Vaughn | Occupational Therapist | 1890 Star Shoot Pkwy, Lexington, KY 40509-4566 | 2019-08-27 |
| 1205389590 | Rebecca Vaughn | Social Worker | 409 S Oakland St, Gastonia, NC 28052 | 2016-08-03 |
| 1376947911 | Rebecca Ann Vaughn | Counselor | 2409 Homer Clayton Dr., Guntersville, AL 35976-2207 | 2014-10-10 |
| 1629110176 | Rebecca Erin Vaughn | Registered Nurse | 1120 Sams St, Cookeville, TN 38506-4006 | 2007-02-13 |
| Street Address |
148 BILL CARRUTH PKWY STE 280 |
| City | HIRAM |
| State | GA |
| Zip Code | 30141-3754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629492442 | Kimberly Patterson | Physical Therapist | 148 Bill Carruth Pkwy, Suite 160, Hiram, GA 30141-3754 | 2014-02-13 |
| 1659656403 | Wellstar Cardiovascular Medicine, LLC | Internal Medicine | 148 Bill Carruth Pkwy, Suite 100, Hiram, GA 30141-3754 | 2011-10-12 |
| 1609039882 | Christine Min | Radiology | 148 Bill Carruth Pkwy, Suite Ll30, Hiram, GA 30141-3754 | 2008-07-08 |
| 1790951788 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 148 Bill Carruth Pkwy, Suite 260, Hiram, GA 30141-3754 | 2008-04-30 |
| 1013196492 | Vanchad C Memark | Surgery | 148 Bill Carruth Pkwy, Suite 180, Hiram, GA 30141-3754 | 2007-11-01 |
| 1679772297 | Timothy Zachary Brock | Surgery | 148 Bill Carruth Pkwy, Suite 180, Hiram, GA 30141-3754 | 2007-07-13 |
| 1205051877 | Alan Chung-kee Cheng | Internal Medicine | 148 Bill Carruth Pkwy, Suite 100, Hiram, GA 30141-3754 | 2007-04-17 |
| 1033236609 | Judy Ozeryansky | Physical Therapist | 148 Bill Carruth Pkwy, Suite 120, Hiram, GA 30141-3754 | 2007-03-26 |
| 1821149139 | Tabatha Peshel | Nurse Practitioner | 148 Bill Carruth Pkwy, Suite 100, Hiram, GA 30141-3754 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801255690 | Belinda Lett Baker | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5316 Jones Reserve Walk, Hiram, GA 30141 | 2016-02-22 |
| 1104213339 | Matthew Lee Estes | Nurse Practitioner | 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141 | 2015-04-26 |
| 1881088649 | Marietta Eye Clinic, Pa | Optometrist | 47 Highland Pavilion Ct, Suite 101, Hiram, GA 30141 | 2015-03-19 |
| 1902217417 | Hiram Dental Group, PC | Dentist | 5218 Jimmy Lee Smith Parkway, Suite 100, Hiram, GA 30141 | 2014-05-19 |
| 1912340613 | Anuj Patel | Orthopaedic Surgery | 148 Bill Carruth Parkway Suite 120, Hiram, GA 30141 | 2013-04-11 |
| 1619280278 | Thomas Wayne Bloodworth | Obstetrics & Gynecology | 6794 Bill Carruth Parkway, Hiram, GA 30141 | 2010-07-23 |
| 1487970026 | Madelynn Lorraine Speach | Counselor | 44 Darbys Crossing Dr Ste 206c, Hiram, GA 30141 | 2010-04-07 |
| 1679760433 | We Care Md, P.C. | Family Medicine | 5610 Wendy Bagwell Parkway, Suite 103, Hiram, GA 30141 | 2007-09-26 |
| 1811188121 | Holly L Watson | Nurse Practitioner | 156 Hiram Drive, Building B, Hiram, GA 30141 | 2007-08-05 |
| 1285842799 | Restoration Physical Therapy, LLC. | Clinic/Center | 5077 Jimmy Lee Smith Pkwy, Suite 119, Hiram, GA 30141 | 2007-05-18 |
| Find all providers in zip 30141 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891701496 | Corrie Vanexel Alford | Dermatology | 148 Bill Carruth Pkwy., Suite 280, Hiram, GA 30141 | 2006-08-01 |
| 1902111016 | Gregory Trey Haunson | Dermatology | 148 Bill Carruth Pkwy., Suite 280, Hiram, GA 30141 | 2010-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686058 | Worldwide Medical Healthcare Inc | Dermatology | 790 Church St Ne Ste 300, Marietta, GA 30060-8902 | 2020-10-09 |
| 1972142891 | Worldwide Medical Distributor, LLC | Dermatology | 3780 Old Norcross Rd Ste 103, Duluth, GA 30096-1762 | 2019-12-23 |
| 1932762218 | Laura Quinn Biehle | Dermatology | 5730 Glenridge Dr Ste T100, Atlanta, GA 30328-5747 | 2019-04-22 |
| 1003479254 | Kiley Katherine Fagan | Dermatology | 775 Aronson Lake Ct, Roswell, GA 30075-7172 | 2019-04-15 |
| 1346700127 | Gerald Chotiner | Dermatology | 2887 Gant Qtrs. Circle, Marietta, GA 30068-3719 | 2019-03-20 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1154890564 | Sidney Adele Brown-caggiano | Dermatology | 4645 Timber Ridge Dr Ste 100, Douglasville, GA 30135-7542 | 2018-11-14 |
| 1194209163 | Live Oak Dermatology | Dermatology | 135 Norcross St # 8, Roswell, GA 30075-3867 | 2018-09-17 |
| 1942780994 | Skyn Clinic & Apothecary | Dermatology | 1150 Peachtree Industrial Blvd Ste 165, Suwanee, GA 30024-1903 | 2018-08-20 |
| 1649750688 | Zola Nemorin | Dermatology | 1500 Peachtree Industrial Blvd Ste 165, Suwanee, GA 30024-8490 | 2018-08-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on REBECCA YOUNGBLOOD VAUGHN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.