Shannon J Vaughn (NPI# 1164448809, PAC ID# 5294774741) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164448809 |
| PAC ID by PECOS | 5294774741 |
| Professional Enrollment ID | I20050426000092 |
| Full Name | Shannon J Vaughn |
| Organization Legal Name | FLOYD HEALTHCARE MANAGEMENT INC |
| Address |
28 John Davenport Dr Nw Rome GA 30165-2536 |
| Phone Number | 7062321503 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5193633386 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110054 | FLOYD MEDICAL CENTER |
| 110168 | REDMOND REGIONAL MEDICAL CENTER |
| 111330 | POLK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 7707400895 | 24 ON PHYSICIANS PC |
| 28 John Davenport Dr Nw, Rome, GA 30165-2536 | 7062321503 | FLOYD HEALTHCARE MANAGEMENT INC |
| 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 7065095000 | 24 ON PHYSICIANS PC |
| 304 Turner Mccall Swblvd, Rome, GA 30165-5621 | 7065096800 | FLOYD HEALTHCARE MANAGEMENT INC |
| 320 Turner Mccall Blvd, Rome, GA 30165-5621 | 7065094340 | 24 ON PHYSICIANS PC |
| 330 Turner Mccall Blvd Sw, Suite 104, Rome, GA 30165-5631 | 7065095640 | FLOYD HEALTHCARE MANAGEMENT INC |
| 330 Turner Mccall Sw Blvd, Rome, GA 30165-5631 | FLOYD HEALTHCARE MANAGEMENT INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 37% | |
| MIPS_EC_047_overall | Care Plan | 37% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 70% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 70% |
| Organization Legal Name | FLOYD HEALTHCARE MANAGEMENT INC |
| Physicians | 112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lourdes C Irizar | Nurse Practitioner | Floyd Healthcare Management Inc | 6000 Joe Frank Harris Nwpkwy, Adairsville, GA 30103-2443 |
| Jordan Vaughn | Nurse Practitioner | Floyd Healthcare Management Inc | 302 Shorter Ave Nw, Rome, GA 30165-4268 |
| Mary Watson Keith | Family Medicine | Floyd Healthcare Management Inc | 11766 Hwy 27, Summerville, GA 30747-5989 |
| Shelle R Glover | Family Medicine | Floyd Healthcare Management Inc | 304 Shorter Nwave, Rome, GA 30165-4256 |
| Patricia Annette Barrett | Nurse Practitioner | Floyd Healthcare Management Inc | 4159 Martha Berry Nwhwy, Rome, GA 30165-7705 |
| Jacquelyn M Cheatham-terry | Family Medicine | Floyd Healthcare Management Inc | 1025 N Main St, Cedartown, GA 30125-2036 |
| Kristie L Burt | Nurse Practitioner | Floyd Healthcare Management Inc | 391 Northwood Dr, Centre, AL 35960-1020 |
| April H Connell | Nurse Practitioner | Floyd Healthcare Management Inc | 395 Northwood Dr, Centre, AL 35960-1045 |
| Ashley B Millican | Nurse Practitioner | Floyd Healthcare Management Inc | 2 Three Mile Rd Ne, Rome, GA 30165-9764 |
| Lauren B Horn | Nurse Practitioner | Floyd Healthcare Management Inc | 330 Turner Mccall Sw Blvd, Rome, GA 30165-5631 |
| Street Address |
28 JOHN DAVENPORT DR NW |
| City | ROME |
| State | GA |
| Zip | 30165-2536 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy A Gladney | Nurse Practitioner | Floyd Healthcare Management Inc | 28 John Davenport Dr Nw, Rome, GA 30165-2536 |
| Greta D Flaherty | Family Medicine | Floyd Healthcare Management Inc | 28 John Davenport Dr Nw, Rome, GA 30165-2536 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori Leonard | Nurse Practitioner | Highland Rivers Community Service Board | 6 Mathis Dr Nw, Suite B, Rome, GA 30165-1242 |
| Nicole S Wright | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Shola Adewunmi | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Tresselyn Douglas Adams | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Ephi J Betan | Psychologist, Clinical | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Cathleen Ann Hulbert | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Nurah J Walton | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Catherine L Hoover | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Tina R. Folden | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Willie James Campbell | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Find all physicians in zip 30165 | |||
| City | ROME |
| Zip Code | 30165 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ROME + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shannon J Vaughn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.