Individual provider Active NPI

Gregory Michael Ward, M.D.

  • Otolaryngology Physician
  • Atlanta, GA
National Provider Identifier
1497075774
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
88290 Issued in GA
Practice address
960 Johnson Ferry Rd Ste 335
Atlanta, GA 30342-1625
Phone
(404) 497-8700
Fax
(404) 497-8701
NPI assigned
Jun 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 01075424A IN
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X 88290 GA Primary

Addresses

Primary practice location

960 Johnson Ferry Rd Ste 335
Atlanta, GA 30342-1625

Mailing address

960 Johnson Ferry Rd Ste 335
Atlanta, GA 30342-1625
Phone (404) 497-8700

Other identifiers 1

IdentifierTypeStateIssuer
201295690MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gward180648@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150715001679 IN Practitioner - Otolaryngology 9032343504 Reassigns benefits to 1 organization
I20210511001333 GA Practitioner - Otolaryngology 9032343504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry NE
Atlanta, GA 30342-1606

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

960 Johnson Ferry Rd
Suite 335
Atlanta, GA 30342-1625
Phone (404) 497-8700

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision21
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
88290GAMDOtolaryngology Physician
01075424AINMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Otolaryngology Associates, Inc. Otolaryngology CurrentSince Jul 13, 2015 Accepting new patients
Northside Surgical Professional Services LLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

960 Johnson Fy Rd NE
Ste 335
Sandy Springs, GA 30342
Phone (404) 497-8700

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

7631 Solutions Ctr
Chicago, IL 60677

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

Interoperability endpoints

  • Direct secure messaging: gward180648@direct-ehr-ssmhc.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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1497075774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 JOHNSON FERRY RD STE 335",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421625",
            "telephone_number": "404-497-8700",
            "fax_number": "404-497-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 JOHNSON FERRY RD STE 335",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421625",
            "telephone_number": "404-497-8700",
            "fax_number": "404-497-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "GREGORY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01075424A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "88290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201295690",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gward180648@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "gward180648@direct-ehr-ssmhc.com",
            "address_1": "1225 S. Grand",
            "address_2": "Door 3",
            "city": "St. Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "63104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1225 S. Grand",
            "address_2": "Door 3",
            "city": "St. Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "63104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.