KEVIN WARD D.O
NPI 1780934760
Obstetrics & Gynecology in Douglasville, GA

Q: What is Kevin Ward's NPI number?

The NPI number for Kevin Ward is 1780934760. It was assigned to this individual provider in the NPPES registry on September 17, 2012.

Q: What is Kevin Ward's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Ward was last updated on September 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 17, 2012PECOS Enrolled

6095 PROFESSIONAL PKWY STE A210, DOUGLASVILLE, GA 30134(770) 949-4188(770) 949-1614 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kevin Ward D.o NPPES

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

KEVIN WARD D.O (NPI 1780934760) is an individual obstetrics & gynecology provider in Douglasville, Georgia, licensed in Georgia (77984) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Evanston.

NPPES Registry Identity

NPI1780934760

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameKEVIN WARDCredential: D.O

Location Address6095 PROFESSIONAL PKWY STE A210Douglasville, GA 30134

Mailing Address6095 Professional Pkwy Ste A210Douglasville, GA 30134-5611 · (770) 949-4188 · Fax (770) 949-1614

Phone(770) 949-4188

Fax(770) 949-1614

Sole ProprietorYes

Enumeration DateSeptember 17, 2012

Last NPPES UpdateSeptember 26, 2019

✔ NPI 1780934760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in GA · 77984✔ Licensed in IL · 125060900

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

6095 PROFESSIONAL PKWY STE A210, Douglasville, GA 30134

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Secondary Practice Location 1

Location 1355 Ridge AveEvanston, IL 60202-3328 · Phone (847) 316-6229

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Ward D.o is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Ward reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC

Same address

Obstetrics & Gynecology

6095 PROFESSIONAL PKWY, SUITE A-210
Douglasville, GA 30134

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1083910046 (770) 949-4188

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAEONDA BULLARD MD

Obstetrics & Gynecology