DR. RACQUEL LEWIS VAUGHN DMD
NPI 1871809582
Dentist - General Practice in Tucker, GA

Q: What is Racquel Vaughn's NPI number?

The NPI number for Racquel Vaughn is 1871809582. It was assigned to this individual provider in the NPPES registry on August 19, 2010.

Q: What is Racquel Vaughn's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Racquel Vaughn was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 19, 2010PECOS Enrolled

3983 LAVISTA RD STE 104, TUCKER, GA 30084(770) 723-1111 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2022, Jul 5, 2022 (2 updates tracked since 2022).

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About Dr. Racquel Lewis Vaughn Dmd NPPES

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

DR. RACQUEL LEWIS VAUGHN DMD (NPI 1871809582) is an individual general practice provider in Tucker, Georgia, licensed in Georgia (DN014917) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Conyers.

NPPES Registry Identity

NPI1871809582

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RACQUEL LEWIS VAUGHNCredential: DMD

Location Address3983 LAVISTA RD STE 104Tucker, GA 30084-5140

Mailing Address3983 Lavista Rd Ste 104Tucker, GA 30084-5140 · (770) 723-1111 · Fax (770) 723-9444

Phone(770) 723-1111

Sole ProprietorNo

Enumeration DateAugust 19, 2010

Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration

NPPES CertifiedJuly 12, 2022

✔ NPI 1871809582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in GA · DN014917✔ Licensed in FL · DN19195

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License DN014917 (GA)

3983 LAVISTA RD STE 104, Tucker, GA 30084

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Secondary Practice Location 1

Location 12239 Highway 20 SEConyers, GA 30013-2091 · Phone (770) 921-3565 · Fax (770) 921-3534

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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)

Dr. Racquel Lewis Vaughn Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30084 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

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGIA DENTAL PROFESSIONALS, PC

Dentist (General Practice)

3983 LAVISTA RD STE 104
TUCKER, GA 30084

Dekalb County (770) 723-1111

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 Racquel Vaughn's NPI number?

The NPI number for Racquel Vaughn is 1871809582. It was assigned to this individual provider in the NPPES registry on August 19, 2010.

Where is Racquel Vaughn located?

Racquel Vaughn practices at 3983 Lavista Rd Ste 104, Tucker, GA 30084. The listed phone number is (770) 723-1111.

What is Racquel Vaughn's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Racquel Vaughn enrolled in Medicare?

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

What insurance does Racquel Vaughn accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 11 other insurers list Racquel 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 Racquel Vaughn was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.