MR. MATTHEW G VAUGHN (NPI# 1083926604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083926604 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW G VAUGHN |
| Credential | L.P.C. |
| Practice Address |
4015 S Cobb Dr Se Suite 100 Smyrna GA 30080-6303 |
| Practice Telephone | 7708513823 |
| Practice Fax Number | 7708630009 |
| Mailing Telephone | 7708513823 |
| Mailing Fax Number | 7708630009 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC005910 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356866776 | Matthew Vaughn | Specialist/Technologist | 6741 Ne 182nd St, Unit C313, Kenmore, WA 98028 | 2017-08-07 |
| 1720493356 | Matthew Timothy Vaughn | Optometrist | 33 W 42nd St, Suny College of Optometry, New York, NY 10036-8005 | 2014-06-23 |
| 1235578923 | Matthew Lawrence Vaughn | Dentist | 1200 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2013-06-17 |
| 1427134246 | Matthew Douglas Vaughn | Dentist | 1317 Grove Ave, Montevideo, MN 56265 | 2006-10-27 |
| Street Address |
4015 S COBB DR SE SUITE 100 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617351 | Carlton D Haggard | Social Worker | 4015 S Cobb Dr Se, Ste 4, Smyrna, GA 30080-6315 | 2005-05-31 |
| 1417414632 | Mike Phillips LLC | Counselor | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2019-02-24 |
| 1629534896 | Michael C Phillips | Counselor | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2019-02-13 |
| 1902358146 | Hannah Jay Sabella | Dietitian, Registered | 4015 S Cobb Dr Se, Suite 250, Smyrna, GA 30080-6303 | 2016-11-03 |
| 1124470729 | Richard Charles Lie-nielsen | Counselor | 4015 S Cobb Dr Se, Suite 260, Smyrna, GA 30080-6303 | 2016-07-07 |
| 1508216136 | Jason Rhoads | Counselor | 4015 S Cobb Dr Se, Suite 1, Smyrna, GA 30080-6303 | 2016-06-14 |
| 1962850446 | Brenda Terry | Physician Assistant | 4015 S Cobb Dr Se, Suite 115, Smyrna, GA 30080-6303 | 2016-05-25 |
| 1669833448 | Christine Engstrom | Dietitian, Registered | 4015 S Cobb Dr Se, Suite 260, Smyrna, GA 30080-6303 | 2016-03-08 |
| 1700246550 | Personal Recovery Network LLC | Counselor | 4015 S Cobb Dr Se, Suite 115, Smyrna, GA 30080-6303 | 2016-03-07 |
| 1841650538 | Personal Recovery Network LLC | Internal Medicine | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2016-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528957 | Takelia Hughey | Counselor | 2875 Spring Villa Ln Se, Smyrna, GA 30080-3644 | 2020-11-06 |
| 1114535408 | Ramona J Wilson | Counselor | 4684 Wehunt Commons Dr Se, Smyrna, GA 30082-7312 | 2020-07-22 |
| 1194340521 | Amanda Almeida | Counselor | 1024 Cumberland Glen Ln Se, Smyrna, GA 30080-4063 | 2020-06-11 |
| 1356974075 | Bianca Walker | Counselor | 4018 Benell Ct Se, Smyrna, GA 30082-3905 | 2020-02-20 |
| 1801435888 | Calvin Kittrell Smith | Counselor | 2350 Cobb Pkwy Se Apt 9c, Smyrna, GA 30080-2708 | 2019-12-23 |
| 1932745551 | Courtney Laye | Counselor | 3642 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2019-11-19 |
| 1659929214 | Nykeya Jjmes | Counselor | 2411 Ellard Ter Se, Smyrna, GA 30080-4808 | 2019-08-27 |
| 1477011369 | Tracy L Hurst | Counselor | 1275 Church St Se, Smyrna, GA 30080-3532 | 2019-03-09 |
| 1447720453 | Mary Campbell | Counselor | 1264 Concord Rd Se Ste 106, Smyrna, GA 30080-5302 | 2018-12-03 |
| 1699242875 | Erin Michelle Richardson | Counselor | 400 Technology Ct Se, Smyrna, GA 30082-5237 | 2018-10-25 |
| Find all providers in SMYRNA | ||||
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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.