GAVIN MICHAEL VAUGHN (NPI# 1962514190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962514190 |
| Entity Type | Individual |
| Full Name | GAVIN MICHAEL VAUGHN |
| Credential | MD |
| Practice Address |
4040 Highway 17 Murrells Inlet SC 29576-5098 |
| Mailing Address |
Po Box 1209 Murrells Inlet SC 29576-1209 |
| Practice Telephone | 8436528160 |
| Practice Fax Number | 8436528161 |
| Mailing Telephone | 8436528220 |
| Mailing Fax Number | 8435277080 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2014-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 37356 | SC | Allopathic & Osteopathic Physicians |
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
37356 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICAL LICENSE | TL37356 | 01 |
| Street Address |
4040 HIGHWAY 17 |
| City | MURRELLS INLET |
| State | SC |
| Zip Code | 29576-5098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164489761 | Daniel J Single | Orthopaedic Surgery | 4040 Highway 17, Suite 101, Murrells Inlet, SC 29576-5098 | 2006-04-27 |
| 1528593233 | Jennifer Marie Dickerson | Physician Assistant | 4040 Highway 17, Suite 206, Murrells Inlet, SC 29576-5098 | 2017-05-01 |
| 1679944839 | Bryce Edward Paull | Physician Assistant | 4040 Highway 17, Suite 101, Murrells Inlet, SC 29576-5098 | 2015-10-14 |
| 1467837369 | Carrie Suzanne Gwyer | Nurse Practitioner | 4040 Highway 17, Suite 302, Murrells Inlet, SC 29576-5098 | 2015-07-21 |
| 1295113207 | Georgetown Physician Associates, LLC | Clinic/Center | 4040 Highway 17, Suite 105, Murrells Inlet, SC 29576 | 2015-05-11 |
| 1851705206 | Georgetown Physician Associates, LLC | Orthopaedic Surgery | 4040 Highway 17, Suite 101, Murrells Inlet, SC 29576 | 2014-06-13 |
| 1982998100 | Mark Leslie Witkowski | Surgery | 4040 Highway 17, Suite 202, Murrells Inlet, SC 29576-5098 | 2011-06-06 |
| 1053638973 | Rebecca Ann Turner | Nurse Practitioner | 4040 Highway 17, Suite 302, Murrells Inlet, SC 29576-5098 | 2010-05-02 |
| 1821313057 | Christopher Tran Bach | Internal Medicine | 4040 Highway 17, Suite 302, Murrells Inlet, SC 29576-5098 | 2010-03-31 |
| 1235336421 | Channing Dale Willoughby | Pain Medicine | 4040 Highway 17, Suite206, Murrells Inlet, SC 29576-5098 | 2007-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577665 | Mobilityworks, LLC | Durable Medical Equipment & Medical Supplies | 11816 Frontage Rd., Murrells Inlet, SC 29576 | 2020-10-29 |
| 1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
| 1710443833 | Sirach Health Professional Limited Liability Company | Physical Medicine & Rehabilitation | 4070 Us Highway 17 Bypass South, Murrells Inlet, SC 29576 | 2019-02-13 |
| 1801350871 | Doctors Care, P.a. | Emergency Medicine | 12015 Highway 707, Murrells Inlet, SC 29576 | 2019-01-24 |
| 1568949154 | Melanie Lewis | Physical Therapist | 2586 Hwy 17 Business S, Murrells Inlet, SC 29576 | 2018-07-26 |
| 1528550035 | Lauren Munck | Family Medicine | Tidelands Waccamaw Community Hospital, 4070 Highway 17, Murrells Inlet, SC 29576 | 2018-05-31 |
| 1003312521 | Myrtle Beach Rehabilitation Hospital, LLC | Rehabilitation Hospital | 4070 Hwy 17 Bypass South, Murrells Inlet, SC 29576 | 2018-04-03 |
| 1467952218 | Jamaica E Alston | Student in an Organized Health Care Education/Training Program | 14 Ambassador Lane, Murrells Inlet, SC 29576 | 2018-02-19 |
| 1891209227 | Caleb Sims Whitney | Physical Medicine & Rehabilitation | 10800 Sc 707, Murrells Inlet, SC 29576 | 2017-11-21 |
| 1043720964 | Chartwell Durable Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 671 Jamestown Drive, Suite 104, Murrells Inlet, SC 29576 | 2017-10-05 |
| Find all providers in zip 29576 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891209227 | Caleb Sims Whitney | Physical Medicine & Rehabilitation | 10800 Sc 707, Murrells Inlet, SC 29576 | 2017-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900047 | Jacob Louis Slann | Physical Medicine & Rehabilitation | 408 College Ave, Clemson, SC 29631-1441 | 2020-07-24 |
| 1821607185 | Bobby Papariella | Physical Medicine & Rehabilitation | 16 Verona Cir, Simpsonville, SC 29681-6615 | 2020-07-23 |
| 1457884421 | Bryan Keith | Physical Medicine & Rehabilitation | 320 W Butler Rd, Mauldin, SC 29662-2538 | 2017-04-06 |
| 1154388064 | Nancy Rose Lembo | Physical Medicine & Rehabilitation | 763 Travelers Blvd, Suite D, Summerville, SC 29485-8796 | 2006-04-26 |
| 1942266176 | Palmetto Spine & Sports Medicine, Pa | Physical Medicine & Rehabilitation | 3030 Ashley Town Center Dr, Blgd A-102, Charleston, SC 29414-5664 | 2006-04-25 |
| 1821624479 | Deepa V Patel | Physical Medicine & Rehabilitation | 2695 Elms Plantation Blvd Ste C, North Charleston, SC 29406-7132 | 2020-03-16 |
| 1356995211 | Okatie Physical Therapy and Sports Medicine | Physical Medicine & Rehabilitation | 149 Riverwalk Blvd Ste 3, Ridgeland, SC 29936-8191 | 2019-07-30 |
| 1366906281 | Olivia Forrest | Physical Medicine & Rehabilitation | 701 Oakland Ave, Rock Hill, SC 29733-7001 | 2019-01-24 |
| 1558889980 | Brandon Lee Edwards | Physical Medicine & Rehabilitation | 2439 Willwood Dr, Florence, SC 29501-3904 | 2017-09-06 |
| 1821512955 | Jacqueline Lee Hawk | Physical Medicine & Rehabilitation | 2439 Willwood Dr, Florence, SC 29501-3904 | 2017-07-31 |
| Find all providers with the same taxonomy | ||||
| City | MURRELLS INLET |
| Zip Code | 29576 |
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| 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.