Active NPI
Jacob Ward MD, LLC
- Family Medicine Physician
- Woodstock, GA
National Provider Identifier
1093903395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.