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

Keely E Vaughan, PA-C

Individual provider Medical Physician Assistant · NPI 1780060319

Keely E Vaughan, PA-C is a Physician Assistant in Martin, Tennessee. Qualified in 2015, 11 years ago. Practices with Martin Medical Center PC, a 7-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
11
Licensed in
TN
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

117 Kennedy Dr
Martin, TN 38237-3394
Phone: (731) 587-9511
Fax: (877) 309-6416
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2812 (TN)

Record details

NPI number1780060319
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2015
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021
Mailing address117 Kennedy Dr, Martin, TN 38237-3309

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Martin Medical Center Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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