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Deactivated NPI 1912244484 Deactivated / Inactive NPI Male Practitioner

Dr. Edgar Allen Vaughan , MD

Pediatrics • Marietta, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edgar Vaughan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 03, 2013
NPI Deactivation Date May 06, 2019
Total Practice Duration ~6 Years of Practice (2013 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Edgar Vaughan, MD was a registered Pediatrics practicing in Marietta, GA. Throughout an active medical career spanning 6 years, Dr. Vaughan provided care at the practice location at 575 SAINT ANNES RD NW until profile deactivation on 2019-05-06.

Practice Location & Contact Primary Location

Practice Address

575 Saint Annes Rd Nw

Marietta, GA 300641441

Telephone 7704286504

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Marietta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
73 Specialists

Practicing in Marietta, GA (2326 Statewide)

Telehealth Adoption Rate
1.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 6728

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 06, 2019

Record deactivated on May 06, 2019

NPI Profile Active January 03, 2013

NPI status registered as active in NPPES database

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Updated Practice Location January 03, 2013

Registered at 575 SAINT ANNES RD NW, MARIETTA, GA 300641441 (Tel: 7704286504)

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Updated Business Mailing Address January 03, 2013

Registered at 575 SAINT ANNES RD NW, MARIETTA, GA 300641441 (Tel: 7704286504)

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Provider Name / Credentials Updated January 03, 2013

Recorded as EDGAR VAUGHAN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2013

Pediatrics (License #6728 in GA)

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Initial NPI Registration & Enumeration January 03, 2013

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: 1912244484
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2013
Last Update: January 03, 2013
Deactivation Date: May 06, 2019

Mailing Address

575 Saint Annes Rd Nw

Marietta, GA 300641441

Phone: 7704286504

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.