Haven Medical Home PC
NPI 1114587763 · Internal Medicine Physician · Evans, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Haven Medical Home PC is a Internal Medicine Physician organization in Evans, GA (NPI 1114587763).
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
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
Mailing address
Registry dates
- Enumerated
- 2019-06-17
- Last updated
- 2020-08-05
- Certified
- 2020-08-05
Frequently asked questions
- What is Haven Medical Home PC's NPI number?
- Haven Medical Home PC's National Provider Identifier (NPI) is 1114587763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Haven Medical Home PC?
- Haven Medical Home PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Haven Medical Home PC located?
- Haven Medical Home PC's practice location on file with NPPES is 4480 Deer Run, Evans, GA 30809-4442.
- What is Haven Medical Home PC's phone number?
- The practice phone number listed in the NPPES registry for Haven Medical Home PC is (706) 833-8810.
- Does Haven Medical Home PC accept Medicare?
- Haven Medical Home PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Haven Medical Home PC?
- The authorized official listed on Haven Medical Home PC's NPPES record is Jennifer Ward, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Haven Medical Home PC's NPI active?
- Yes — Haven Medical Home PC's NPI (1114587763) is active in the NPPES registry as of the last update on 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.