OrganizationActive
Samuel E Ward MD Pl
NPI 1255319695 · Family Medicine Physician · Vernon, FL
Provider details
- NPI number
- 1255319695
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jessica Hawkins, Office Manager(850) 547-3679
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
3607 Roche Ave
Vernon, FL 32462-3358
Phone: (850) 547-3679
Fax: (855) 492-6785
Street-level locationGet directions
Mailing address
3803 Galilee Rd
Graceville, FL 32440-4721
Other names (DBA / former)
- Doing business as
- Ward Medical Clinic
Registry dates
- Enumerated
- 2006-01-05
- Last updated
- 2023-09-11
- Certified
- 2023-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.