Individual provider Active NPI

Jennifer Ward, D.O.

  • Internal Medicine Physician
  • Evans, GA
National Provider Identifier
1891727749
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
056500 Issued in GA
Practice address
4480 Deer Run
Evans, GA 30809-4442
Phone
(706) 111-1111
NPI assigned
Jul 7, 2006
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 056500 GA Primary

Addresses

Primary practice location

4480 Deer Run
Evans, GA 30809-4442

Mailing address

4480 Deer Run
Evans, GA 30809-4442
Phone (706) 833-8810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 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
I20051024000053 GA Practitioner - Internal Medicine 4486670080 Reassigns benefits to 1 organization
Practice locations: Evans, GA
I20200806003085 SC Practitioner - Internal Medicine 4486670080

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

Merit-based Incentive Payment System (MIPS)

Final score
77.69 of 100Reported as individual
Quality
74.34
Promoting interoperability
56
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83078SCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Consultants, Inc Past Accepting new patients
Encompass Health Walton Rehabilitation Hospital, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennifer.ward.1@23673.direct.athenahealth.com
  • Direct secure messaging: jennifer.ward.3@23673.direct.athenahealth.com

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

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.