Neenah Jolly Vaughn, NP - Medicare Nurse Practitioner in Kings Mountain, NC

Neenah Jolly Vaughn, NP is a medicare enrolled "Nurse Practitioner - Family" in Kings Mountain, North Carolina. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Geriatric Consultants Pllc and her current practice location is 716 Sipes St, Kings Mountain, North Carolina. You can reach out to her office (for appointments etc.) via phone at (828) 317-6741.

Neenah Jolly Vaughn is licensed to practice in North Carolina (license number 5011788) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639735277.

Contact Information

Neenah Jolly Vaughn, NP
716 Sipes St,
Kings Mountain, NC 28086-2716
(828) 317-6741
Not Available

Map and Direction




Provider's Profile

Full NameNeenah Jolly Vaughn
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location716 Sipes St, Kings Mountain, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Neenah Jolly Vaughn graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1639735277
  • Provider Enumeration Date: 05/17/2019
  • Last Update Date: 12/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5991039695
  • Enrollment ID: I20190701000953

Medical Identifiers

Medical identifiers for Neenah Jolly Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639735277NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5011788 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At HomeShelby, NCHome health agency
Atrium Health ClevelandShelby, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Geriatric Consultants Pllc529413238757

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Neenah Jolly Vaughn allows following entities to bill medicare on her behalf.
Entity NameGeriatric Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801478086
PECOS PAC ID: 5294132387
Enrollment ID: O20210915003266
Entity NameCareconnectmd North Carolina P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104507441
PECOS PAC ID: 3971965898
Enrollment ID: O20230809002596

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Neenah Jolly Vaughn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Neenah Jolly Vaughn, NP
1194 Bethel Church Rd,
Marion, NC 28752-6078

Ph: (828) 289-4741
Neenah Jolly Vaughn, NP
716 Sipes St,
Kings Mountain, NC 28086-2716

Ph: (828) 317-6741

Reviews and Comments


Nurse Practitioner Nurses in Kings Mountain, NC

Mrs. Virginia Baity Ervin, MSN, APRN, BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 108 W Mountain St, Kings Mountain, NC 28086
Phone: 704-739-5550    Fax: 800-317-3563
Shila D Robbs, DNP, FNP-BC
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Medicare: Medicare Enrolled
Practice Location: 211 Chadwick Dr, Kings Mountain, NC 28086
Phone: 704-259-8489    
Hazel Freida Mitchell,
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Medicare: Accepting Medicare Assignments
Practice Location: 502 W King St, Kings Mountain, NC 28086
Phone: 704-874-1900    
Tenae Griffin, NP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 407 W King St, Kings Mountain, NC 28086
Phone: 704-730-8461    
Rose I Onuoha, MSN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 407 W King St, Kings Mountain, NC 28086
Phone: 704-730-8461    
Sara Brie Dentel, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 827 E King St, Kings Mountain, NC 28086
Phone: 704-734-4550    
Yvonne Andrea Valencia, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 812 W King St, Kings Mountain, NC 28086
Phone: 704-739-5456    Fax: 704-739-5271

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.