Individual provider Active NPI

Jason Scott Ward, DC

  • Chiropractor
  • Cartersville, GA
National Provider Identifier
1427245208
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO07790 Issued in GA
Practice address
1350 Joe Frank Harris Pkwy SE
Suite 101
Cartersville, GA 30120-4201
Phone
(770) 383-3352
NPI assigned
Sep 26, 2007
Last updated
Jul 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO07790 GA Primary

Addresses

Primary practice location

1350 Joe Frank Harris Pkwy SE
Suite 101
Cartersville, GA 30120-4201

Mailing address

1350 Joe Frank Harris Pkwy
Suite101
Cartersville, GA 30120
Phone (770) 383-3352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080208000114 GA Practitioner - Chiropractic 9032292453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1350 Joe Frank Harris Sepkwy
Suite 101
Cartersville, GA 30120-4202
Phone (678) 535-7171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO07790GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ward Family Chiropractic Center Chiropractor CurrentSince Dec 28, 2009 Accepting new patients
McCracken Chiropractic Center Chiropractor PastSince Oct 9, 2006 Accepting new patients

Locations

1350 Joe Frank Harris Pkwy SE
Ste 101
Cartersville, GA 30120
Phone (678) 535-7171

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247443200000",
    "number": "1427245208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 JOE FRANK HARRIS PKWY",
            "address_2": "SUITE101",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "30120",
            "telephone_number": "770-383-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 JOE FRANK HARRIS PKWY SE",
            "address_2": "SUITE 101",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301204201",
            "telephone_number": "770-383-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "JASON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2009-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO07790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.