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

Q: 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.

Q: What is Jordan Vaughn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Vaughn was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

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: October 25, 2026.

On this page

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

Phone(770) 427-4682

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

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Jordan Vaughn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC

0.1 mi

Rheumatology

700 CHURCH ST NE
Marietta, GA 30060

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1114210127 (770) 420-1690

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 3

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

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110042

Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110143

Location3950 Austell RdAustell, GA 30106 · Cobb County

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.

Which organization bills Medicare for Jordan Vaughn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Vaughn reassigns Medicare benefits to Wellstar Medical Group, LLC (Marietta, 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 Jordan Vaughn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 other insurers 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, Wellstar Paulding Medical Center and Wellstar Cobb 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.