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

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
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Practice location Address checks out

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

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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