| Mrs Felicity A Devaughn, PA-C | |
|
5041 Dallas Hwy Ste 107, Powder Springs, GA 30127-6458 | |
| (678) 833-1444 | |
| (678) 833-1445 |
| Full Name | Mrs Felicity A Devaughn |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 5041 Dallas Hwy Ste 107, Powder Springs, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568593788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 8121 (Georgia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 1294 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Cartersville Medical Center | Cartersville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Truffles Vein Of Central Georgia Llc | 8527594662 | 5 |
| Preferred Vascular Services Northwest Llc | 1850552142 | 13 |
| Entity Name | Preferred Vascular Services Northwest LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598037822 PECOS PAC ID: 1850552142 Enrollment ID: O20120413000013 |
| Entity Name | Truffles Vein Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760733448 PECOS PAC ID: 1355594797 Enrollment ID: O20130114000391 |
| Entity Name | Preferred Vascular Services Southeast LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861992976 PECOS PAC ID: 3577812312 Enrollment ID: O20180828000280 |
| Entity Name | Preferred Vascular Services Southwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790285229 PECOS PAC ID: 0446502918 Enrollment ID: O20181010003246 |
| Entity Name | Preferred Vascular Services Macon LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437659455 PECOS PAC ID: 6406108984 Enrollment ID: O20181010003906 |
| Entity Name | Preferred Vascular Services Northeast |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780184218 PECOS PAC ID: 3577815695 Enrollment ID: O20181017002434 |
| Entity Name | Truffles Vein of Central Georgia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457100430 PECOS PAC ID: 8527594662 Enrollment ID: O20241212000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Felicity A Devaughn, PA-C 711 Canton Rd Ne, Ste 220, Marietta, GA 30060-8949 Ph: (615) 791-4790 | Mrs Felicity A Devaughn, PA-C 5041 Dallas Hwy Ste 107, Powder Springs, GA 30127-6458 Ph: (678) 833-1444 |
Avery Brunson Clark, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1151 Bowerie Chase, Powder Springs, GA 30127 Phone: 770-401-4634 |
Megan Daniel, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13 Old Mountain Dr, Powder Springs, GA 30127 Phone: 678-826-6313 |
Julia Ann Willard, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1497 Chaseway Cir, Powder Springs, GA 30127 Phone: 470-345-9043 Fax: 470-345-9043 |
Joel Kevin Price, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4039 Atlanta St, Powder Springs, GA 30127 Phone: 770-943-3139 |
Olivia Rose Norris, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3362 Chatsworth Way, Powder Springs, GA 30127 Phone: 770-773-6714 |