Individual provider Active NPI

Jennifer Wares, MD

  • General Practice Physician
  • Atlanta, GA
National Provider Identifier
1346229622
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
054694 Issued in GA
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

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
347910029AMedicaidGA

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

OrganizationSpecialtyStatusNew patients
Jerrica Kirkley M.D., P.C. CurrentSince Feb 25, 2024 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.