Active NPI
Stephen Wayne Ward, PA-C
- Physician Assistant
- Fort Benning, GA
National Provider Identifier
1003917121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2515
- Practice address
- 7950 Martin Loop
Wintder TMC Martin Army Community Hospital
Fort Benning, GA 31905-5647 - Phone
- (706) 544-8305
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2515 | GA | Primary |
Addresses
Primary practice location
7950 Martin Loop
Wintder TMC Martin Army Community Hospital
Fort Benning, GA 31905-5647
Mailing address
3018 Thornberry Cir
Phenix City, AL 36867-7106
Phone (334) 291-9508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002515 | GA | MD | Family Medicine Physician |
| 2515 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003917121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3018 THORNBERRY CIR",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368677106",
"telephone_number": "334-291-9508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 MARTIN LOOP",
"address_2": "WINTDER TMC MARTIN ARMY COMMUNITY HOSPITAL",
"city": "FORT BENNING",
"state": "GA",
"postal_code": "319055647",
"telephone_number": "706-544-8305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "STEPHEN",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "2515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Benning, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.