Organization Active NPI

Jacob Ward MD, LLC

  • Family Medicine Physician
  • Woodstock, GA
National Provider Identifier
1093903395
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JACOB WARD MD, LLC
Practice address
1200 Buckhead Xing Ste B
Woodstock, GA 30189-4259
Phone
(770) 592-4350
Fax
(770) 874-0028
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jacob T Ward, M.D.NPI 1336224260
Title
Physician
Phone
(770) 592-4350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1200 Buckhead Xing Ste B
Woodstock, GA 30189-4259

Mailing address

1200 Buckhead Xing Ste B
Woodstock, GA 30189-4259
Phone (770) 592-4350

National Provider Directory

National Provider Directory

Locations

1200 Buckhead Xing
Ste B
Woodstock, GA 30189
Phone (770) 592-4350

2230 Towne Lake Pkwy
Bldg 900
Woodstock, GA 30189
Phone (404) 713-4280

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1093903395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BUCKHEAD XING STE B",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894259",
            "telephone_number": "770-592-4350",
            "fax_number": "770-874-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BUCKHEAD XING STE B",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894259",
            "telephone_number": "770-592-4350",
            "fax_number": "770-874-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB WARD MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-592-4350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.