Rolandine Vaughan, PAC
NPI 1225284367ActiveIndividual· Physician Assistant· Dacula, GA
Physician Assistant (PAC) in Dacula, Georgia, trained at Eastern Virginia Medical School (class of 2008). 27 Medicare patients in 2024, $1,673 paid; nearly all of their 72 Part D prescriptions were generic (93%).
Overview
| NPI | 1225284367 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Aug 8, 2008 |
| Last updated in NPPES | Mar 15, 2024 |
| Certified by provider | Mar 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10004230A | IN |
| Specialist | 174400000X | 005982 | GA |
| Physician Assistant | 363A00000X | 0110002860 | VA |
| Physician Assistant | 363A00000X | 005982 | GA |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA); Practitioner - Physician Assistant (FL); Practitioner - Physician Assistant (GA); Practitioner - Physician Assistant (IL); Practitioner - Physician Assistant (IN); Practitioner - Physician Assistant (MI); Practitioner - Physician Assistant (MN); Practitioner - Physician Assistant (NY); Practitioner - Physician Assistant (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 53 across 10 procedure codes |
| Paid by Medicare | $1,673 |
Part D prescriptions in 2024
| Prescriptions (claims) | 72 · 73 30-day fills |
|---|---|
| Patients | 39 |
| Total drug cost | $1,895 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | Eastern Virginia Medical School |
|---|---|
| Graduation year | 2008 |
| Medicare specialty | Physician Assistant |
Medical group
- The Southeast Permanente Medical GroupJonesboro, GA · 812 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Dacula
- 1891234159
- 1932836657
- 1952045684
- 1447952601
- 1003501057
- 1831642875
- 1114230810
- 1679435622
- 1659763621
- 1679269450
- 1265123509
- 1548440910