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MR. BRENNAN FOSTER VAUGHN PA-C
NPI 1689113250
Military Health Care Provider in Jackson, MS

Active since February 15, 2017PECOS Enrolled
1420 RAYMOND RD, JACKSON, MS 39204(601) 387-3400 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2026, Feb 1, 2019, Feb 15, 2017 (3 updates tracked since 2017).

About Mr. Brennan Foster Vaughn Pa-c NPPES

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

MR. BRENNAN FOSTER VAUGHN PA-C (NPI 1689113250) is an individual military health care provider provider in Jackson, Mississippi, licensed in Mississippi (PA00323) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689113250
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameMR. BRENNAN FOSTER VAUGHNCredential: PA-C
Location Address1420 RAYMOND RDJackson, MS 39204-4358
Mailing Address1420 Raymond RdJackson, MS 39204-4358 · (601) 387-3400
Phone(601) 387-3400
Sole ProprietorNo
Enumeration DateFebruary 15, 2017
Last NPPES UpdateApril 20, 20263 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1689113250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed in MS · PA00323
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA00323 (MS)
1420 RAYMOND RD, Jackson, MS 39204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Brennan Foster Vaughn Pa-c 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.

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 Brennan Vaughn's NPI number?

The NPI number for Brennan Vaughn is 1689113250. It was assigned to this individual provider in the NPPES registry on February 15, 2017.

Where is Brennan Vaughn located?

Brennan Vaughn practices at 1420 Raymond Rd, Jackson, MS 39204. The listed phone number is (601) 387-3400.

What is Brennan Vaughn's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Is Brennan Vaughn enrolled in Medicare?

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

What insurance does Brennan Vaughn accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Brennan Vaughn 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.

When was this NPI record last updated?

The NPPES record for Brennan Vaughn was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.