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

Rolandine Vaughan, PAC

Individual provider Specialist · NPI 1225284367

Rolandine Vaughan, PAC is a Physician Assistant in Dacula, Georgia. Graduated from Eastern Virginia Medical School in 2008, 18 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia, Indiana and Virginia.

Years since qualifying
18
Trained at
Eastern Virginia Medical School
Licensed in
GA, IN, VA
In the registry since
2008
Specialties on file
5
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

1862 Auburn Rd Ste 118-X1
Dacula, GA 30019-1676
Phone: (404) 906-6985
Fax: (678) 302-7377
Show map & directions

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

Additional practice locations (1)

  • 2084 Mitford Ct, Dacula, GA 30019-2486 — (678) 960-8953

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10004230A (IN)
Specialist Taxonomy 174400000X · Licence 005982 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 0110002860 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 005982 (GA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1225284367
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 8, 2008
Last updated in NPPESMarch 15, 2024
Certification dateMarch 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2008 (18 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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