EMILY JANE VAUGHN PA-C
NPI 1083414882
Physician Assistant - Medical in Portland, TN

Active since March 19, 2025PECOS EnrolledAccepts Medicare Assignment
934 S BROADWAY ST STE C, PORTLAND, TN 37148(615) 325-6446 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 21, 2026, Nov 12, 2025, Aug 11, 2025 and 1 more (4 updates tracked since 2025).

About Emily Jane Vaughn Pa-c NPPES

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

EMILY JANE VAUGHN PA-C (NPI 1083414882) is an individual medical provider in Portland, Tennessee and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1083414882
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameEMILY JANE VAUGHNCredential: PA-C
Location Address934 S BROADWAY ST STE CPortland, TN 37148-1718
Mailing Address3024 Business Park CirGoodlettsville, TN 37072-3132 · (615) 239-2018 · Fax (615) 851-2018
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 19, 2025
Last NPPES UpdateApril 21, 20264 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
NPI 1083414882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
934 S BROADWAY ST STE C, Portland, TN 37148

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Emily Jane Vaughn Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931609633
PECOS Enrollment IDI20250826003859
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440003
Location555 Hartsville PikeGallatin, TN 37066 · Sumner County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
934 S BROADWAY ST STE C
PORTLAND, TN 37148
Physician Assistant
934 S BROADWAY ST STE C
PORTLAND, TN 37148
Nurse Practitioner (Family)
934 S BROADWAY ST STE C
PORTLAND, TN 37148

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083414882, enumerated as an "individual" on March 19, 2025.

The provider is located at 934 S BROADWAY ST STE C PORTLAND, TN 37148 and the phone number is (615) 325-6446.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Oscar Insurance. Please consult your insurance carrier or call the provider to verify.

Emily Vaughn is affiliated with: SUMNER REGIONAL MEDICAL CENTER.