DR. JORDAN VAUGHN MD
NPI 1871242438
Family Medicine in Marietta, GA

Active since March 21, 2022PECOS EnrolledAccepts Medicare Assignment
780 CHURCH ST NE STE 1105, MARIETTA, GA 30060(770) 427-4682(470) 986-7108 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jordan Vaughn Md NPPES

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

DR. JORDAN VAUGHN MD (NPI 1871242438) is an individual family medicine provider in Marietta, Georgia, licensed in Georgia (103945) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1871242438
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JORDAN VAUGHNCredential: MD
Location Address780 CHURCH ST NE STE 1105Marietta, GA 30060-7269
Mailing Address677 Church Street Attn: GmeMarietta, GA 30060
Fax(470) 986-7108
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 21, 2022
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
NPI 1871242438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 103945
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
780 CHURCH ST NE STE 1105, Marietta, GA 30060

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

Dr. Jordan Vaughn Md 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 ID6406235340
PECOS Enrollment IDI20251103000396
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.

Hospital Affiliations CMS Care Compare

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Jordan Vaughn's NPI number?

The NPI number for Jordan Vaughn is 1871242438. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Jordan Vaughn located?

Jordan Vaughn practices at 780 Church St NE Ste 1105, Marietta, GA 30060. The listed phone number is (770) 427-4682.

What is Jordan Vaughn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jordan Vaughn enrolled in Medicare?

Yes. Jordan 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.

What insurance does Jordan Vaughn accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Jordan 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.

Is Jordan Vaughn affiliated with any hospitals?

According to CMS data, Jordan Vaughn is affiliated with Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jordan Vaughn was last updated on September 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.