OrganizationActive
Haven Medical Home PC
NPI 1114587763 · Internal Medicine Physician · Evans, GA
Provider details
- NPI number
- 1114587763
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Ward, Owner(706) 833-8810
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4480 Deer Run
Evans, GA 30809-4442
Phone: (706) 833-8810
Fax: (800) 504-1362
Street-level locationGet directions
Mailing address
4480 Deer Run
Evans, GA 30809-4442
Registry dates
- Enumerated
- 2019-06-17
- Last updated
- 2020-08-05
- Certified
- 2020-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.