Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Bailey Shannon Vaughn, PA-C

Individual provider Physician Assistant · NPI 1306603055

Mr. Bailey Shannon Vaughn, PA-C is a Physician Assistant in Saint Louis, Missouri. Qualified in 2023, 3 years ago. Practices with Total Access Urgent Care PC, a 131-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone: (314) 373-5740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 621 S New Ballas Rd Ste 560a, Saint Louis, MO 63141-8261 — (314) 251-6440

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2024007399 (MO)

Record details

NPI number1306603055
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 29, 2024
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Total Access Urgent Care Pc — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations15 on file with Medicare

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