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ALEXIS LILLIE VAUGHN
NPI 1174299838
Assisted Living Facility in Covington, GA

Active since August 20, 2021
625 S LAKE DR, COVINGTON, GA 30016(678) 481-1439 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alexis Lillie Vaughn NPPES

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

ALEXIS LILLIE VAUGHN (NPI 1174299838) is an individual assisted living facility provider in Covington, Georgia, licensed in Georgia (0030076692) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1174299838
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameALEXIS LILLIE VAUGHN
Location Address625 S LAKE DRCovington, GA 30016-4795
Mailing Address625 S Lake DrCovington, GA 30016-4795 · (678) 481-1439
Phone(678) 481-1439
Sole ProprietorYes
Enumeration DateAugust 20, 2021
NPPES CertifiedAugust 20, 2021
✔ NPI 1174299838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in GA · 0030076692
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
625 S LAKE DR, Covington, GA 30016
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Other Names 1

Other Name (5)Alexis Lillie Vaughn

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 Alexis Vaughn's NPI number?

The NPI number for Alexis Vaughn is 1174299838. It was assigned to this individual provider in the NPPES registry on August 20, 2021. The provider is also known as Alexis Lillie Vaughn.

Where is Alexis Vaughn located?

Alexis Vaughn practices at 625 S Lake Dr, Covington, GA 30016. The listed phone number is (678) 481-1439.

What is Alexis Vaughn's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Alexis Vaughn was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.