MS. KORI VAUGHN AA-C
NPI 1629658349
Anesthesiologist Assistant in Saint Louis, MO
About Ms. Kori Vaughn Aa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KORI VAUGHN AA-C (NPI 1629658349) is an individual anesthesiologist assistant in Saint Louis, Missouri and active in the NPI registry since April 2021. She is affiliated with Grady Memorial Hospital and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Kori Vaughn Aa-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.
Medicare Billing Reassignment
Medicare enrollment records show Kori Vaughn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30331
- Reassigned Medicare billing, Georgia enrollment
- 771 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grady Memorial Hospital
Acute Care Hospitals · Atlanta, GAMedicare 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
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 Kori Vaughn's NPI number?
The NPI number for Kori Vaughn is 1629658349. It was assigned to this individual provider in the NPPES registry on April 8, 2021.
Where is Kori Vaughn located?
Kori Vaughn practices at 615 S New Ballas Rd, Saint Louis, MO 63141. The listed phone number is (314) 251-6000.
What is Kori Vaughn's specialty?
The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.
Is Kori Vaughn enrolled in Medicare?
Yes. Kori Vaughn 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.
Which organization bills Medicare for Kori Vaughn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kori Vaughn reassigns Medicare benefits to Grady Memorial Hospital Corporation (Atlanta, 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 Kori Vaughn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kori Vaughn affiliated with any hospitals?
According to CMS data, Kori Vaughn is affiliated with Grady Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kori Vaughn was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ms. Kori Vaughn, AA-C · NPI 1629658349
Anesthesiologist Assistant physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since April 8, 2021.
## Identity
- **NPI:** 1629658349 (Entity type: Individual)
- **Enumerated:** April 8, 2021
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 615 S NEW BALLAS RD, Saint Louis, MO 63141-8221
- **Phone:** (314) 251-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Grady Memorial Hospital Corporation (NPI 1649765686, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1629658349) · Data from the CMS NPPES public registry.