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JARVIS LAMAR VAUGHN MD
NPI 1831030618
Student in an Organized Health Care Education/Training Program in Florence, SC

Active since April 03, 2026PECOS Enrolled
555 E CHEVES ST, FLORENCE, SC 29506(843) 777-7670 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jarvis Lamar Vaughn Md NPPES

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

JARVIS LAMAR VAUGHN MD (NPI 1831030618) is an individual student in an organized health care education/training program in Florence, South Carolina and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831030618
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJARVIS LAMAR VAUGHNCredential: MD
Location Address555 E CHEVES STFlorence, SC 29506-2617
Mailing Address555 E Cheves StFlorence, SC 29506-2617 · (843) 777-7670
Phone(843) 777-7670
Sole ProprietorNo
Enumeration DateApril 3, 2026
NPPES CertifiedApril 3, 2026
✔ NPI 1831030618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
555 E CHEVES ST, Florence, SC 29506
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jarvis Lamar Vaughn Md 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.

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.

MR. MICHAEL EUGENE MONTROSE OTR
Occupational Therapist
555 E CHEVES ST
FLORENCE, SC 29506
Florence County (843) 777-6714
JACKIE MCLEAN PTA
Physical Therapy Assistant
555 E CHEVES ST
FLORENCE, SC 29506
Florence County (843) 777-2250
MRS. CALLIE HANSON CARPENTER F.N.P
Nurse Practitioner (Family)
555 E CHEVES ST
FLORENCE, SC 29506
Florence County (843) 777-2000
DR. SATYA DATLA M.D.
Internal Medicine
555 E CHEVES ST, MCLEOD REGIONAL MEDICAL CENTER
FLORENCE, SC 29506
Florence County (248) 990-5955
SOMER PYE PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
555 E CHEVES ST
FLORENCE, SC 29506
Florence County (843) 777-2000
KAITLYN GANNON PA-C
Physician Assistant
555 E CHEVES ST
FLORENCE, SC 29506
Florence County (843) 777-2000
MS. RACHEL BOWEN CAULDER CRNA
Nurse Anesthetist, Certified Registered
555 E CHEVES ST
FLORENCE, SC 29506
Florence County (843) 661-6215
MR. SCOTT GREGORY SAYLOR CRNA
Nurse Anesthetist, Certified Registered
555 E CHEVES ST
FLORENCE, SC 29506
Florence County (843) 777-8752

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 Jarvis Vaughn's NPI number?

The NPI number for Jarvis Vaughn is 1831030618. It was assigned to this individual provider in the NPPES registry on April 3, 2026.

Where is Jarvis Vaughn located?

Jarvis Vaughn practices at 555 E Cheves St, Florence, SC 29506. The listed phone number is (843) 777-7670.

What is Jarvis Vaughn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jarvis Vaughn enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jarvis Vaughn was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.