P Praxis·MD
● Active Type 1 · Individual

Kimberly Vaughn, FNP-C

Nurse Practitioner·Summerville, GA· NPI 1497053656 · Enumerated 2011 · 15 years on NPI
Vaughn is 1 of 12 nurse practitioner providers in Summerville and 1 of 8826 in Georgia.
NPI age
15 years
Enumerated 2011-03-11
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-03-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
15 years
↑ 8 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-03Enumerated in NPPES
2011 2026

Where they practice

Practice location
138 Mitchell Dr
Summerville, GA 307476642
📞 7063315913
Mailing address
138 Mitchell Dr
Summerville, GA 307476642
📞 7063315913

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN081967 taxonomy 363LF0000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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