Individual provider Active NPI

Jon Ward, MD

  • MOHS-Micrographic Surgery Physician
  • Panama City, FL
National Provider Identifier
1720039829
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME95816 Issued in FL
Practice address
2505 Harrison Ave
Panama City, FL 32405-4423
Phone
(850) 233-3376
Fax
(850) 522-8354
NPI assigned
May 13, 2006
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 95816 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME95816 FL Primary

Addresses

Primary practice location

2505 Harrison Ave
Panama City, FL 32405-4423

Mailing address

2505 Harrison Ave
Panama City, FL 32405-4464
Phone (850) 233-3376

Other practice location 1

12907 Panama City Beach Pkwy
Panama City Beach, FL 32407-2717
Phone (850) 233-3376

Other practice location 2

75 Origins Main St Ste 203
Watersound, FL 32461-8826
Phone (850) 233-3376

Other practice location 3

3089 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3216
Phone (850) 233-3376

Other practice location 4

2550 Pass Rd
Biloxi, MS 39531-2726
Phone (850) 233-3376

Other practice location 5

4357 Lafayette St
Marianna, FL 32446-2929
Phone (850) 233-3376

Other practice location 6

4413 US Highway 331 S
Defuniak Springs, FL 32435-6307
Phone (850) 233-3376

Other identifiers 4

IdentifierTypeStateIssuer
511-14460OtherALBLUE CROSS BLUE SHEILD
AI172MedicaidAL
46665OtherFLBLUE CROSS BLUE SHEILD
001101700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL, GA, MS4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20061017000077 FL Practitioner - Dermatology 6901848472 Reassigns benefits to 2 organizations
I20110628000227 AL Practitioner - Dermatology 6901848472 Reassigns benefits to 1 organization
I20181017003785 GA Practitioner - Dermatology 6901848472 Reassigns benefits to 1 organization
I20181107002430 MS Practitioner - Dermatology 6901848472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Florida College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Dermatology Group PAGroup PAC ID 9931277233, 45 clinicians

Practice addresses (Care Compare)

1543 Professional Pkwy
Auburn, AL 36830-2858
Phone (850) 233-3376

2505 Harrison Ave
Panama City, FL 32405-4464

2550 Pass Rd
Biloxi, MS 39531-2726
Phone (877) 231-3376

4360 Chamblee Dunwoody Rd
Suite 260
Atlanta, GA 30341-1055
Phone (850) 233-3376

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision56
Removal of skin lesions925
Removal of skin cancer1130
Removal or shaving of skin growth1-10
Skin biopsy234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95816FLMDDermatology Physician
ME95816FLMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Dermatology Group PA Dermatology CurrentSince Jul 17, 2006 Accepting new patients
North Walton Rural Hospital, LLC CurrentSince Aug 27, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Dermatology Specialists of Georgia, LLC Dermatology PastSince Jun 28, 2021 Accepting new patients
Vascular Associates LLC Past Accepting new patients
Cumberland Skin Surgery and Dermatology PastSince Apr 18, 2011 Accepting new patients

Locations

1543 Professional Pkwy
Auburn, AL 36830
Phone (334) 821-9308

106 Westside Dr
Dothan, AL 36303
Phone (334) 699-3376

4413 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-5171

3089 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 203-3790

2505 Harrison Ave
Panama City, FL 32405
Phone 85023333762619

12907 Panama City Beach Pkwy
Panama City Beach, FL 32407

82 Mack Bayou Loop
Santa Rsa Bch, FL 32459
Phone (850) 622-0600

75 Origins Main St
Ste 203
Watersound, FL 32461

4360 Chamblee Dunwoody Rd
Ste 260
Atlanta, GA 30341
Phone (770) 452-5667

1605 Whitesville St
Lagrange, GA 30240
Phone (706) 548-3019

2550 Pass Rd
Biloxi, MS 39531
Phone (205) 540-2507

Interoperability endpoints

  • Direct secure messaging: jon.ward@gcd.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Walton Doctors HospitalDefuniak Springs, FL, CCN 100365 Hospital 5% Or Greater Indirect Ownership Interest (35.33%)
5% Or Greater Security Interest (35.33%)
Aug 24, 2024
Aug 27, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1720039829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054464",
            "telephone_number": "850-233-3376",
            "fax_number": "850-522-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054423",
            "telephone_number": "850-233-3376",
            "fax_number": "850-522-8354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12907 Panama City Beach Pkwy",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324072717",
            "country_code": "US",
            "telephone_number": "850-233-3376",
            "fax_number": "850-522-8354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Origins Main St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Watersound",
            "state": "FL",
            "postal_code": "324618826",
            "country_code": "US",
            "telephone_number": "850-233-3376",
            "fax_number": "850-522-8354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3089 Gulf Breeze Pkwy",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325633216",
            "country_code": "US",
            "telephone_number": "850-233-3376",
            "fax_number": "850-522-8354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 Pass Rd",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395312726",
            "country_code": "US",
            "telephone_number": "850-233-3376",
            "fax_number": "850-522-8354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4357 Lafayette St",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324462929",
            "country_code": "US",
            "telephone_number": "850-233-3376",
            "fax_number": "850-522-8354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4413 US Highway 331 S",
            "address_purpose": "LOCATION",
            "city": "Defuniak Springs",
            "state": "FL",
            "postal_code": "324356307",
            "country_code": "US",
            "telephone_number": "850-233-3376",
            "fax_number": "850-522-8354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "JON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "95816",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME95816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "511-14460",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AI172",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "46665",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001101700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.