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

Shannon Joe Vaughn, MD

Individual provider Family Medicine Physician · NPI 1164448809

Shannon Joe Vaughn, MD is a Family Practice in Rome, Georgia. Qualified in 1995, 31 years ago. Practices with Floyd Healthcare Management Inc, a 134-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
31
Licensed in
GA
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

28 John Davenport Dr NW
Rome, GA 30165-2536
Phone: (706) 235-8485
Fax: (706) 295-5742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 046000 (GA)

Record details

NPI number1164448809
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESMarch 10, 2023
Certification dateMarch 10, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Floyd Healthcare Management Inc — 134 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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