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CYNTHIA ANGELLA VAUGHAN NP
NPI 1124770136
Nurse Practitioner - Family in Snellville, GA

Active since January 20, 2022PECOS Enrolled
4296 ROUND STONE DR, SNELLVILLE, GA 30039(678) 598-1144 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cynthia Angella Vaughan Np NPPES

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

CYNTHIA ANGELLA VAUGHAN NP (NPI 1124770136) is an individual family provider in Snellville, Georgia, licensed in Georgia (RN158896) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124770136
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCYNTHIA ANGELLA VAUGHANCredential: NP
Location Address4296 ROUND STONE DRSnellville, GA 30039-8732
Mailing Address4296 Round Stone DrSnellville, GA 30039-8732 · (678) 598-1144
Phone(678) 598-1144
Sole ProprietorNo
Enumeration DateJanuary 20, 2022
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1124770136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN158896
4296 ROUND STONE DR, Snellville, GA 30039
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cynthia Angella Vaughan Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30039 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Cynthia Vaughan's NPI number?

The NPI number for Cynthia Vaughan is 1124770136. It was assigned to this individual provider in the NPPES registry on January 20, 2022.

Where is Cynthia Vaughan located?

Cynthia Vaughan practices at 4296 Round Stone Dr, Snellville, GA 30039. The listed phone number is (678) 598-1144.

What is Cynthia Vaughan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Cynthia Vaughan enrolled in Medicare?

Yes. Cynthia Vaughan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cynthia Vaughan was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.