KELLY P WARD (PA) – Physician Assistant, NPI 1073595104

KELLY P WARD (PA) is a healthcare provider. based in Athens, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 003050 (GA). The NPI Number for KELLY P WARD (PA) is 1073595104

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
KELLY P WARD (PA)
NPI
1073595104
Phone
(706) 369-5440
Address
1500 OGLETHORPE AVE STE 500B
Enumeration Date
15 November 2005
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6789637171
Graduation Year
1997 (29 years ago)
PAC ID
7416979166
Group Practice PAC ID
8820349772
Professional Enrollment ID
I20051222000385
Address ID
GA306201759BE340XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for KELLY P WARD (PA)

  • 1500 OGLETHORPE AVE STE 500B

    ATHENS, GA 306062184

    Phone: (706) 369-5440

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $496.

Total Amount is formed as General ($496) + Research ($0) + Ownership ($0) = $496.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Team 1, Llc ($143).

Total Amount

$496

General + Research + Ownership

Payments

16

Total payment records

General Amount

$496

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-12-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051222000385IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg1,20014$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg30357$0
99213Established patient office or other outpatient visit, 20-29 minutes13287$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance8560$0
99203New patient office or other outpatient visit, 30-44 minutes6565$0
View full utilization report →

Insurance plans in this area (ZIP 30606)

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Provider's Procedures

KELLY P WARD (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTGA73110X-ray of wrist, minimum of 3 views2520
PHYSICIAN ASSISTANTGA73630X-ray of foot, minimum of 3 views2723

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820349772View full group profile
NameSpecialtyState
N E U R O S U R G E R YGA
-GA
Nurse PractitionerGA
-GA
Physician AssistantSC
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA
Gynecological OncologyKY
-GA

Reviews

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Frequently asked questions

Can I use this page to confirm KELLY P WARD (PA)'s NPI?
Yes. KELLY P WARD (PA) is listed with NPI 1073595104 in the public NPI dataset.
Can I rely on KELLY P WARD (PA) being an active provider?
As of the registry snapshot, KELLY P WARD (PA) is marked active.
What is KELLY P WARD (PA) best known for clinically?
Directory data describes KELLY P WARD (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for KELLY P WARD (PA)?
KELLY P WARD (PA)'s geographic hint is Athens, Georgia in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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