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Active NPI 1225284367 Individual Practitioner Female Practitioner

Rolandine Vaughan , PA-C

Physician Assistant • Dacula, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Rolandine Vaughan, PA-C is a certified Physician Assistant practicing in Dacula, GA. With approximately 18 years of clinical experience since graduating from Eastern Virginia Medical School in 2008, Rolandine Vaughan delivers high-quality medical care to the local community at 1862 AUBURN RD STE 118-X1.

Rolandine Vaughan is affiliated with The Southeast Permanente Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1862 Auburn Rd Ste 118-X1

Dacula, GA 300191676

Telephone 4049066985
Fax 6783027377
Associated Practice Facility / Clinic
🏢 Virtually Urgent Healthcare Facility NPI 1932836657

Medicare Profile & Education

Medical School

Eastern Virginia Medical School

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Dacula, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +7.0 yrs vs City Avg
City Avg: 11.0 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
10 Specialists

Practicing in Dacula, GA (4726 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vaughan (18 Years) 18 Yrs
Dacula Specialty Average (11.0 Years) 11.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 12 $303.92 $96.48

Medical Specialties & State Licenses

CMS Verified: 2024-03-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IN 10004230A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Specialist

NUCC Taxonomy Code: 174400000X

State License GA 005982

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License VA 0110002860

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License GA 005982

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00429217D (GA)

Hospital & Practice Group Affiliations

The Southeast Permanente Medical Group

3495 Piedmont Rd Ne, Atlanta, GA 303051729

Phone: 4043647206

Secondary Practice Locations

2084 Mitford Ct

Dacula, GA 300192486

Phone: 6789608953

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2024

Specialist (License #005982 in GA)

📍
Updated Practice Location August 05, 2022

Registered at 1862 AUBURN RD STE 118-X1, DACULA, GA 300191676 (Tel: 4049066985)

📍
Updated Business Mailing Address August 05, 2022

Registered at 2084 MITFORD CT, DACULA, GA 300192486 (Tel: 6789608953)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2022

Physician Assistant (License #0110002860 in VA)

NPI Profile Active February 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2014

Registered at 1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 300467694 (Tel: 6783123356)

📍
Updated Business Mailing Address February 17, 2014

Registered at 1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 300467694 (Tel: 6783123356)

👤
Provider Name / Credentials Updated February 17, 2014

Recorded as ROLANDINE VAUGHAN, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2014

Specialist (License #005982 in GA)

🟢
Initial NPI Registration & Enumeration August 08, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225284367
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2008
Last Update: March 15, 2024
Sole Proprietor: No

Mailing Address

2084 Mitford Ct

Dacula, GA 300192486

Phone: 6789608953

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.