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

Rebecca Leilani Vaughn, PA

Individual provider Physician Assistant · NPI 1225721020

Rebecca Leilani Vaughn, PA is a Physician Assistant in Gainesville, Georgia. Qualified in 2023, 3 years ago. Practices with Georgia Heart Institute LLC, a 126-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

200 S Enota Dr NE Ste 100
Gainesville, GA 30501-3466
Phone: (770) 534-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 515 N Main St, Wingate, NC 28174-8274 — (704) 233-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12203 (GA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1225721020
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 30, 2023
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024

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 Georgia Heart Institute Llc — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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