Haven Medical Home PC
NPI 1114587763ActiveOrganization· Internal Medicine· Evans, GA
Internal Medicine in Evans, Georgia, registered in NPPES in June 2019. The authorized official on file is Jennifer Ward, DO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114587763 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 17, 2019 |
| Last updated in NPPES | Aug 5, 2020 |
| Certified by provider | Aug 5, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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