MELISSA SUSAN VAUGHAN (NPI# 1134770787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134770787 |
| Entity Type | Individual |
| Full Name | MELISSA SUSAN VAUGHAN |
| Credential | NP |
| Practice Address |
101 St. Joseph's Candler Drive Suite 200 Pooler GA 31322 |
| Mailing Address |
836 E. 65th Street Suite 22 Savannah GA 31405 |
| Practice Telephone | 9127483847 |
| Mailing Telephone | 9128197878 |
| Mailing Fax Number | 9128193320 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
285395 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477985968 | Melissa Darline Vaughan | Licensed Practical Nurse | 5015 Vance Dr, Anchorage, AK 99508-5652 | 2013-08-06 |
| 1528579893 | Melissa Lynn Vaughan I | Nurse Practitioner | 2901 N Reynolds Rd, Toledo, OH 43615-2035 | 2017-10-13 |
| 1881020113 | Melissa Vaughan | Occupational Therapy Assistant | 1401 N High St, Franklin, VA 23851-1244 | 2013-09-18 |
| 1598040149 | Melissa L Vaughan | Nurse Practitioner | 805 Sir Thomas Ct, 2nd Floor, Harrisburg, PA 17109-4839 | 2011-10-14 |
| Street Address |
101 ST. JOSEPH'S CANDLER DRIVE SUITE 200 |
| City | POOLER |
| State | GA |
| Zip Code | 31322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023002730 | Dolores J Haviland-foley | Family Medicine | 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 | 2005-09-08 |
| 1669989000 | Caitlin C Young | Nurse Practitioner | 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 | 2018-01-08 |
| 1518316207 | Andrew S Mrugala | Family Medicine | 101 St. Joseph's Candler Drive, Suite 22, Pooler, GA 31322 | 2016-06-03 |
| 1124412317 | Knar H Mesrobian | Family Medicine | 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 | 2015-03-25 |
| 1104081082 | Russell William Lake | Family Medicine | 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 | 2008-07-21 |
| 1528088648 | Steven D Bischof | Family Medicine | 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427518745 | Quinate Pharmacy LLC | Pharmacy | 1557 Pooler Pkwy, Suite 400, Pooler, GA 31322 | 2019-03-22 |
| 1396202495 | Rucker Holdings | Durable Medical Equipment & Medical Supplies | 210 Grand Central Blvd, Pooler, GA 31322 | 2019-02-25 |
| 1306301841 | Altamaha Dme, Inc | Durable Medical Equipment & Medical Supplies | 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 | 2019-02-08 |
| 1750859351 | Bombery Chiropractic LLC | Chiropractor | 122 Canal St. Ste 109, Pooler, GA 31322 | 2018-11-13 |
| 1407347891 | Georgia Dental Professionals, PC | Dentist | 2140 Pooler Pkwy, Pooler, GA 31322 | 2018-05-22 |
| 1730685439 | Monali Patel | Optometrist | 276 Pooler Pkwy Ste B, Pooler, GA 31322 | 2018-04-02 |
| 1144747023 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 101 Blue Moon Crossing, Pooler, GA 31322 | 2017-08-23 |
| 1063932408 | The Range Physical Therapy, LLC | Clinic/Center | 10801 County Line Rd, Madison, AL 31322 | 2017-06-27 |
| 1285154427 | Pooler Physical Therapy LLC | Clinic/Center | 101 Shepherd Way, Pooler, GA 31322 | 2017-06-20 |
| 1578009130 | Georgia Cvs Pharmacy L.l.c | Durable Medical Equipment & Medical Supplies | 500 Pooler Pkwy, Pooler, GA 31322 | 2017-01-06 |
| Find all providers in zip 31322 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463615 | Precious Sonaike | Nurse Practitioner | 7 Briarcliff Way, Pooler, GA 31322-9636 | 2020-09-30 |
| 1760004667 | Kelli Marie Thompson | Nurse Practitioner | 122 Canal St Ste 104, Pooler, GA 31322-4408 | 2020-05-13 |
| 1376175364 | Harriet Lee Walsh | Nurse Practitioner | 2200 Old Quacco Rd Apt 8300, Pooler, GA 31322-0697 | 2020-02-07 |
| 1992358485 | Amber Clark | Nurse Practitioner | 1254 Homer City Way, Pooler, GA 31322-3320 | 2019-07-23 |
| 1467914945 | Laduana Bradley | Nurse Practitioner | 156 Somersby Blvd, Pooler, GA 31322-9380 | 2019-04-03 |
| 1891244661 | Alexandria Copeland Brooks | Nurse Practitioner | 135 Canal St, Pooler, GA 31322-4079 | 2016-09-22 |
| 1144699943 | Salaethia Martria Crawford | Nurse Practitioner | 1000 Towne Center Blvd Ste 602, Pooler, GA 31322 | 2015-09-22 |
| 1588042535 | Shayla Raines | Nurse Practitioner | 2155 Benton Blvd, Apt 3204, Pooler, GA 31322-1991 | 2015-05-11 |
| 1073803326 | Anny Most | Nurse Practitioner | 1215 Us Highway 80 E, Pooler, GA 31322-9562 | 2011-04-07 |
| 1942438189 | Marci Ann Woo-sheffield | Nurse Practitioner | 107 Canal St, Pooler, GA 31322-4016 | 2009-06-25 |
| Find all providers in POOLER | ||||
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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.