JACKSON P WARD PA-C NPI 1891860144

NPI Information

NPI: 1891860144
Provider Name: JACKSON P WARD, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
750 TOWNPARK LN NW
TOWN PARK COMPREHENSIVE MEDICAL CENTER
KENNESAW, GA
ZIP 30144
Phone: (770) 514-5401
Get Directions

Jackson P Ward, PA-C is a medical physician assistant in Kennesaw, GA with 26 years of experience. Jackson P Ward, PA-C NPI is 1891860144. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

750 TOWNPARK LN NW
TOWN PARK COMPREHENSIVE MEDICAL CENTER
KENNESAW, GA
ZIP 30144-579
Phone: (770) 514-5401
Fax: (770) 994-4747

The NPI 1891860144 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 1/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	03220	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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