JACEY LAINE DEVAUGHN NP
NPI 1437760097
Nurse Practitioner - Family in Augusta, GA

Active since August 16, 2020PECOS EnrolledAccepts Medicare Assignment
77.82/100
CMS Quality Rating
1411 LANEY WALKER BLVD, AUGUSTA, GA 30912(706) 721-2505(706) 721-5566 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2024, Sep 16, 2020, Aug 27, 2020 and 1 more (4 updates tracked since 2020).

About Jacey Laine Devaughn Np NPPES

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

JACEY LAINE DEVAUGHN NP (NPI 1437760097) is an individual family provider in Augusta, Georgia, licensed in Georgia (RN258788) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437760097
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACEY LAINE DEVAUGHNCredential: NP
Location Address1411 LANEY WALKER BLVDAugusta, GA 30912-4788
Mailing AddressPo Box 925Augusta, GA 30903-0925 · (706) 854-6008 · Fax (706) 774-7230
Fax(706) 721-5566
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 16, 2020
Last NPPES UpdateApril 25, 20244 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
NPI 1437760097 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 · RN258788
1411 LANEY WALKER BLVD, Augusta, GA 30912

Secondary Practice Locations 2

Location 14350 Towne Centre Dr Ste 3200Evans, GA 30809-3333 · Phone (706) 863-8790 · Fax (706) 863-3794
Location 21350 Walton WayAugusta, GA 30901-2612 · Phone (706) 722-9011

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

Jacey Laine Devaughn Np 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 ID8527486661
PECOS Enrollment IDI20200922001120
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services20 patients

Hospital Affiliations CMS Care Compare

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

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Electrical stimulation device used for cancer treatment, includes all accessories, any type E0766
DME-Other DME · category DE000N
1 supplier12 claims12 services$11,130.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Dietitian, Registered
1411 LANEY WALKER BLVD, AN1301
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912
Genetic Counselor, MS
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912
Internal Medicine (Hematology & Oncology)
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912
Dietitian, Registered
1411 LANEY WALKER BLVD, AN1301
AUGUSTA, GA 30912
Physician Assistant
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912
Physician Assistant
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912
Physician Assistant
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912

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 Jacey Devaughn's NPI number?

The NPI number for Jacey Devaughn is 1437760097. It was assigned to this individual provider in the NPPES registry on August 16, 2020.

Where is Jacey Devaughn located?

Jacey Devaughn practices at 1411 Laney Walker Blvd, Augusta, GA 30912. The listed phone number is (706) 721-2505.

What is Jacey Devaughn's specialty?

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

Is Jacey Devaughn enrolled in Medicare?

Yes. Jacey Devaughn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacey Devaughn accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Jacey Devaughn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacey Devaughn affiliated with any hospitals?

According to CMS data, Jacey Devaughn is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for Jacey Devaughn was last updated on April 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.