NPI age
17 years
Enumerated 2008-08-08
● Active
Type 1 · Individual
Rolandine Vaughan, PAC
Vaughan is 1 of 12 physician assistant providers in Dacula and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Plus 4 subspecialties
Licensed in
IN, GA, VA
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-03-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
17 years
↑ 9 yr above median (8 yr)
State licenses
3 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 24% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-08Enumerated in NPPES
2008
2026
Where they practice
Practice location
1862 Auburn Rd Ste 118-X1
Dacula, GA 300191676
Mailing address
2084 Mitford Ct
Dacula, GA 300192486
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2084 Mitford Ct
Dacula, GA 300192486
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
-
SpecialistAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00429217D |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Dacula in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.