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JACKSON P WARD IV PA-C
NPI 1891860144
Physician Assistant - Medical in Kennesaw, GA

Active since November 22, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
750 TOWNPARK LN NW, TOWN PARK COMPREHENSIVE MEDICAL CENTER, KENNESAW, GA 30144(770) 514-5401(770) 994-4747 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2022, May 18, 2016 (2 updates tracked since 2016).

About Jackson P Ward Iv Pa-c NPPES

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

JACKSON P WARD IV PA-C (NPI 1891860144) is an individual medical provider in Kennesaw, Georgia, licensed in Georgia (03220) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1891860144
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJACKSON P WARD IVCredential: PA-C
Location Address750 TOWNPARK LN NW, TOWN PARK COMPREHENSIVE MEDICAL CENTERKennesaw, GA 30144-5579
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 504-5678 · Fax (770) 994-4747
Phone(770) 514-5401
Fax(770) 994-4747
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 22, 2006
Last NPPES UpdateJanuary 7, 20222 updates tracked since enumeration
✔ NPI 1891860144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 03220
750 TOWNPARK LN NW, Kennesaw, GA 30144
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jackson P Ward Iv Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022067883
PECOS Enrollment IDI20050119000404
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services16 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.
Clinical Medical Laboratory
750 TOWNPARK LN NW
KENNESAW, GA 30144
Cobb County (770) 514-5426
DR. KIMBERLY DAO-KING M.D.
Pediatrics
750 TOWNPARK LN NW
KENNESAW, GA 30144
Cobb County (800) 611-1811
MS. ANITA RENEE BROWN RPH
Pharmacist
750 TOWNPARK LN NW
KENNESAW, GA 30144
Cobb County (770) 514-5500
GISELE WOGBO
Family Medicine
750 TOWNPARK LN NW
KENNESAW, GA 30144
Cobb County (404) 365-0966
KIMM FREEMAN
Pharmacist (Pain Management)
750 TOWNPARK LN NW
KENNESAW, GA 30144
Cobb County (404) 365-0966
DR. NIKIA LYNETTE GARLAND DO
Family Medicine
750 TOWNPARK LN NW, KAISER PERMANENTE TOWNPARK MEDICAL CENTER
KENNESAW, GA 30144
Cobb County (770) 514-5401
JOSEPH C REYNOLDS II P.A
Physician Assistant
750 TOWNPARK LN NW, KAISER PERMANENTE TOWNPARK COMPREHENSIVE MEDICAL CENTER
KENNESAW, GA 30144
Cobb County (770) 514-5401
MS. NADIA MOHAMMED PA
Physician Assistant
750 TOWNPARK LN NW, KAISER PERMANENTE TOWN PARK COMPREHENSIVE MEDICAL CENTE
KENNESAW, GA 30144
Cobb County (770) 514-5401

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 Jackson Ward's NPI number?

The NPI number for Jackson Ward is 1891860144. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Jackson Ward located?

Jackson Ward practices at 750 Townpark Ln NW Town Park Comprehensive Medical Center, Kennesaw, GA 30144. The listed phone number is (770) 514-5401.

What is Jackson Ward's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jackson Ward enrolled in Medicare?

Yes. Jackson Ward is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jackson Ward was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.