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

Wilson Vaughan

Individual provider Family Medicine Physician · NPI 1477289882

Wilson Vaughan is a Family Practice in Lansing, Michigan. Qualified in 2020, 6 years ago. Practices with Sparrow Carson Hospital, a 64-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2022

Practice location Address checks out

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone: (517) 364-5710
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4351049300 (MI)

Record details

NPI number1477289882
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 27, 2022
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022
Mailing address1200 E Michigan Ave Ste 245, Lansing, MI 48912-1897

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sparrow Carson Hospital — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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