Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adam Boyd Vaughn

Individual provider Physician Assistant · NPI 1003515271

Adam Boyd Vaughn is a Physician Assistant in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2023.

Licensed in
TN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

620 Skyline Dr
Jackson, TN 38301-3923
Phone: (731) 541-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Anesthesiology) Physician (primary) Taxonomy 207LC0200X · Licence 5572 (TN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1003515271
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 27, 2023
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024
Mailing address16 Woodwinds Cv, Jackson, TN 38305-7407

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