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WARD MEDICAL CLINIC
NPI 1255319695
Family Medicine in Vernon, FL

Active since January 05, 2006
3607 ROCHE AVE, VERNON, FL 32462(850) 547-3679(855) 492-6785 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Ward Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WARD MEDICAL CLINIC (NPI 1255319695) is a healthcare organization registered as a family medicine in Vernon, Florida and active in the NPI registry since January 2006. The organization lists Jessica Jean Hawkins, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1255319695
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAMUEL E WARD MD PL
Location Address3607 ROCHE AVEVernon, FL 32462-3358
Mailing Address3803 Galilee RdGraceville, FL 32440-4721 · (850) 547-3679 · Fax (855) 492-6785
Phone(850) 547-3679
Fax(855) 492-6785
Organization SubpartNo
Authorized OfficialJessica Jean HawkinsOffice Manager · (850) 547-3679
Enumeration DateJanuary 5, 2006
Last NPPES UpdateSeptember 11, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2023
✔ NPI 1255319695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3607 ROCHE AVE, Vernon, FL 32462
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Other Names 1

Doing Business AsWard Medical Clinic

Other Identifiers 2

Other35511Blue Shield
Medicaid266048200FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ward Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ward Medical Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Samuel Ward, MD
Family Practice
NPI 1982661757
1409 BRICKYARD RD
Chipley, FL 32428
(850) 547-3679
✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel E Ward MD Pl's NPI number?

The NPI number for Samuel E Ward MD Pl is 1255319695. It was assigned to this organization in the NPPES registry on January 5, 2006. The provider is doing business as Ward Medical Clinic.

Where is Samuel E Ward MD Pl located?

Samuel E Ward MD Pl is located at 3607 Roche Ave, Vernon, FL 32462. The listed phone number is (850) 547-3679.

What is Samuel E Ward MD Pl's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samuel E Ward MD Pl enrolled in Medicare?

Yes. Samuel E Ward MD Pl is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Samuel E Ward MD Pl?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Samuel E Ward MD Pl. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Samuel E Ward MD Pl was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.