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

Jackson P Ward IV, PA-C

Individual provider Medical Physician Assistant · NPI 1891860144

Jackson P Ward IV, PA-C is a Physician Assistant in Kennesaw, Georgia. Qualified in 1998, 28 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
28
Licensed in
GA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

750 Townpark Ln NW Town Park Comprehensive Medical Ctr
Kennesaw, GA 30144-5579
Phone: (770) 514-5401
Fax: (770) 994-4747
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 03220 (GA)

Record details

NPI number1891860144
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 22, 2006
Last updated in NPPESJanuary 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Kennesaw