Active NPI
Jennifer Wares, MD
- General Practice Physician
- Atlanta, GA
National Provider Identifier
1346229622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 054694
- Practice address
- 5555 Glenridge Connector Ste 200
Atlanta, GA 30342-4815 - Phone
- (720) 897-3749
- NPI assigned
- Jan 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 054694 | GA | |
| General Practice Physician | 208D00000X | 054694 | GA | Primary |
Addresses
Primary practice location
5555 Glenridge Connector Ste 200
Atlanta, GA 30342-4815
Mailing address
280 Cherokee Ave
Athens, GA 30606-4308
Phone (706) 614-7524
Other practice location 1
303 S Broadway # 200-357
Denver, CO 80209-1558
Phone (720) 897-3749
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 347910029A | Medicaid | GA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jerrica Kirkley M.D., P.C. | Current | Accepting new patients | |
| Athens-Clarke Emergency Specialists | Emergency Medicine | Past | Accepting new patients |
Locations
303 S Broadway
#200357
Denver, CO 80209
Phone (720) 897-3749
Interoperability endpoints
- jennifer.wares@217526021193732.direct.elationemr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1417688086
-
- Emergency Medicine Physician
- Athens, GA
- NPI 1194762237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1346229622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHEROKEE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306064308",
"telephone_number": "706-614-7524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 GLENRIDGE CONNECTOR STE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303424815",
"telephone_number": "720-897-3749"
}
],
"practiceLocations": [
{
"address_1": "303 S Broadway # 200-357",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802091558",
"country_code": "US",
"telephone_number": "720-897-3749",
"fax_number": "720-815-0227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARES",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-13",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "054694",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "054694",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "347910029A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.