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

Gerald Lane Devaughn, MD

Individual provider Cardiovascular Disease Physician · NPI 1578636072

Gerald Lane Devaughn, MD is a Cardiovascular Disease (Cardiology) in Philadelphia, Pennsylvania. Graduated from Hahnemann University College of Medicine in 1979, 47 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
47
Trained at
Hahnemann University College of Medicine
Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5249 Cedar Ave Ste A
Philadelphia, PA 19143-1524
Phone: (215) 471-1817
Fax: (215) 471-5089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence MD024220E (PA)

Record details

NPI number1578636072
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESMarch 16, 2016
Mailing address5249 Cedar Ave, Suite A, Philadelphia, PA 19143-1524

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated 1979 (47 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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