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KATHERINE MARIE VAUGHN CNM
NPI 1255083697
Advanced Practice Midwife in Johns Creek, GA

Active since January 26, 2022PECOS Enrolled
10692 MEDLOCK BRIDGE RD STE 100A, JOHNS CREEK, GA 30097(404) 446-2496 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 14, 2026, Jan 26, 2022 (2 updates tracked since 2022).

About Katherine Marie Vaughn Cnm NPPES

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

KATHERINE MARIE VAUGHN CNM (NPI 1255083697) is an individual advanced practice midwife in Johns Creek, Georgia, licensed in Georgia (APRN-CNM297847) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1255083697
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameKATHERINE MARIE VAUGHNCredential: CNM
Location Address10692 MEDLOCK BRIDGE RD STE 100AJohns Creek, GA 30097-8497
Mailing Address780 Memorial Dr Se Apt 509Atlanta, GA 30316-1599 · (404) 446-2496
Phone(404) 446-2496
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 26, 2022
Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1255083697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in GA · APRN-CNM297847
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
10692 MEDLOCK BRIDGE RD STE 100A, Johns Creek, GA 30097
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Marie Vaughn Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153899752
PECOS Enrollment IDI20260501000986
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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Vaughn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northside Womens Group LLC
11 mi
Obstetrics & Gynecology
595 HURRICANE SHOALS RD NW STE 110
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 59 clinicians in this Medicare group
NPI 1275380701 (770) 979-4700

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30097 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

KERA NJENGA
Nurse Practitioner (Women's Health)
10692 MEDLOCK BRIDGE RD STE 100A
JOHNS CREEK, GA 30097
Gwinnett County (404) 446-2496
JULIE MORGAN
Nurse Practitioner (Women's Health)
10692 MEDLOCK BRIDGE RD STE 100A
JOHNS CREEK, GA 30097
Gwinnett County (404) 446-2496
NICOLE CRISTINA HABIBE BURGOS MD
Obstetrics & Gynecology
10692 MEDLOCK BRIDGE RD STE 100A
JOHNS CREEK, GA 30097
Gwinnett County (787) 903-4960
XIAOYIN TINA LU MD
Obstetrics & Gynecology
10692 MEDLOCK BRIDGE RD STE 100A
JOHNS CREEK, GA 30097
Gwinnett County (404) 446-2492
NADA MEGALLY
Obstetrics & Gynecology
10692 MEDLOCK BRIDGE RD STE 100A
JOHNS CREEK, GA 30097
Gwinnett County (404) 446-2496
AMBER M BECKER ARNP-CNP
Nurse Practitioner (Women's Health)
10692 MEDLOCK BRIDGE RD STE 100A
JOHNS CREEK, GA 30097
Gwinnett County (404) 446-2496
SKYLER J JACOBS CNM
Advanced Practice Midwife
10692 MEDLOCK BRIDGE RD STE 100A
JOHNS CREEK, GA 30097
Gwinnett County (404) 446-2496
DR. INGRID VIVIAN REYES M.D.
Obstetrics & Gynecology
10692 MEDLOCK BRIDGE RD STE 100A
JOHNS CREEK, GA 30097
Gwinnett County (404) 446-2496

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 Katherine Vaughn's NPI number?

The NPI number for Katherine Vaughn is 1255083697. It was assigned to this individual provider in the NPPES registry on January 26, 2022.

Where is Katherine Vaughn located?

Katherine Vaughn practices at 10692 Medlock Bridge Rd Ste 100A, Johns Creek, GA 30097. The listed phone number is (404) 446-2496.

What is Katherine Vaughn's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Katherine Vaughn enrolled in Medicare?

Yes. Katherine Vaughn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Vaughn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Vaughn reassigns Medicare benefits to Northside Womens Group LLC (Lawrenceville, GA). The 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 Katherine Vaughn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katherine Vaughn was last updated on January 14, 2026. 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.