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VAUGHN URGENT CARE LLC
NPI 1043599541
Family Medicine in Montgomery, AL

Active since August 15, 2011CLIA 01D2029867 · Certificate of Compliance
9540 WYNLAKES PL, MONTGOMERY, AL 36117(334) 395-9933(334) 395-9907 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vaughn Urgent Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VAUGHN URGENT CARE LLC (NPI 1043599541) is a healthcare organization registered as a family medicine in Montgomery, Alabama and active in the NPI registry since August 2011. The organization holds a CLIA Certificate of Compliance certificate valid through March 8, 2028 and lists Thang Quoc An, Member, as its authorized official.

NPPES Registry Identity

NPI1043599541
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVAUGHN FAMILY CARE LLC
Location Address9540 WYNLAKES PLMontgomery, AL 36117
Mailing Address9540 Wynlakes PlMontgomery, AL 36117-8515 · (334) 395-9933 · Fax (334) 395-9907
Phone(334) 395-9933
Fax(334) 395-9907
Organization SubpartNo
Authorized OfficialThang Quoc AnMember · (334) 514-1692
Enumeration DateAugust 15, 2011
Last NPPES UpdateAugust 7, 2018
✔ NPI 1043599541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/CenterTaxonomy 261Q00000X
9540 WYNLAKES PL, Montgomery, AL 36117
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Other Names 1

Other NameVaughn Urgent Care Llc

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vaughn Urgent Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Vaughn Urgent Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Mi Seong Kim, FNP
Nurse Practitioner
NPI 1073444170
9540 WYNLAKES PL
Montgomery, AL 36117
(706) 616-3862
✔ PECOS✔ Accepts MedicareSame address
Deborah Mccollum, FNP
Nurse Practitioner
NPI 1437695681
440 TAYLOR RD STE 3380
Montgomery, AL 36117
(334) 242-4116
✔ PECOS✔ Accepts Medicare3.0 mi
Thang An, DO
Family Practice
NPI 1972580744
820 W SOUTH BLVD
Montgomery, AL 36105
(334) 281-1818
✔ PECOS✔ Accepts Medicare14 mi
Sai Namburu, M.D.
Family Practice
NPI 1205894003
1025 MEDICAL CENTER PKWY
Selma, AL 36701
(334) 875-8833
✔ PECOS✔ Accepts Medicare53 mi
Vijay Tirumalasetty, MD
Family Practice
NPI 1760618003
6613 HICKORY FLAT HWY
Canton, GA 30115
(770) 268-4357
✔ PECOS✔ Accepts Medicare161 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 01D2029867

Vaughn Family Care LLC · Montgomery, AL
Active · expires Mar 8, 2028
CLIA Number01D2029867
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorThang Q. An
Laboratory Phone(334) 395-9933
Laboratory LocationVaughn Family Care LLC9540 Wynlakes Place, Montgomery, AL 36117
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vaughn Family Care LLC's NPI number?

The NPI number for Vaughn Family Care LLC is 1043599541. It was assigned to this organization in the NPPES registry on August 15, 2011. The provider is also known as Vaughn Urgent Care LLC.

Where is Vaughn Family Care LLC located?

Vaughn Family Care LLC is located at 9540 Wynlakes Pl, Montgomery, AL 36117. The listed phone number is (334) 395-9933.

What is Vaughn Family Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Vaughn Family Care LLC enrolled in Medicare?

Yes. Vaughn Family Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vaughn Family Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Vaughn Family Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3) and Nurse Practitioner (2). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vaughn Family Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 01D2029867) is associated with this NPI, valid through March 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vaughn Family Care LLC was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.