Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Haven Medical Home PC

Organization Internal Medicine Physician · NPI 1114587763

Haven Medical Home PC is an Internal Medicine Physician in Evans, Georgia. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4480 Deer Run
Evans, GA 30809-4442
Phone: (706) 833-8810
Fax: (800) 504-1362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1114587763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Ward — Owner · (706) 833-8810
NPI enumeratedJune 17, 2019
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020
Mailing address4480 Deer Run, Evans, GA 30809-4442

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