Active NPI
Jennifer Ward, D.O.
- Internal Medicine Physician
- Evans, GA
National Provider Identifier
1891727749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 056500
- Practice address
- 4480 Deer Run
Evans, GA 30809-4442 - Phone
- (706) 111-1111
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Augusta, GA
- NPI 1104808377
-
- Rehabilitation Hospital
- Augusta, GA
- NPI 1659616811
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Augusta, GA
- NPI 1659616811
Inpatient rehabilitation facility
-
- Community Based Hospice Care Agency
- Augusta, GA
- NPI 1760440424
Hospice
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4480 Deer Run
Evans, GA 30809-4442
Phone (706) 550-1515
Hospital & facility affiliations
- Regency Southerncare
- Piedmont Augusta Hospital
- Rehabiliation Hospital of Augusta
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.69 of 100
- Quality
- 74.34
- Promoting interoperability
- 56
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051024000053 | GA | Practitioner - Internal Medicine | 4486670080 |
Reassigns benefits to 1 organization Practice locations: Evans, GA |
| I20200806003085 | SC | Practitioner - Internal Medicine | 4486670080 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83078 | SC | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Consultants, Inc | Past | Accepting new patients | |
| Encompass Health Walton Rehabilitation Hospital, LLC | Past | Accepting new patients |
Interoperability endpoints
- jennifer.ward.1@23673.direct.athenahealth.com
- jennifer.ward.3@23673.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 056500 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4480 Deer Run
Evans, GA 30809-4442
Mailing address
4480 Deer Run
Evans, GA 30809-4442
Phone (706) 833-8810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 24, 2022.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1891727749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4480 DEER RUN",
"city": "EVANS",
"state": "GA",
"postal_code": "308094442",
"telephone_number": "706-833-8810",
"fax_number": "800-504-1362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4480 DEER RUN",
"city": "EVANS",
"state": "GA",
"postal_code": "308094442",
"telephone_number": "706-111-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "JENNIFER",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "056500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.