JOHN TILLMAN WARD (LPC) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1962579102
Emergency Medical Services (Emergency Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,201 MENTAL HEALTH COUNSELOR in GA
Provider Addresses for JOHN TILLMAN WARD (LPC)
223 Medical Center Dr
Riverdale, GA 302742640
Phone: (404) 991-8512
Type: Location
3578, South Fulton Avenue, Atlanta, Georgia, 30354, United States
HAPEVILLE, GA 303541756
Phone: (404) 669-3462
Fax: (404) 669-3957
Type: Mailing
826 FORREST CIR SE
ATLANTA, GA 303542538
Phone: (404) 449-8027
Type: Mailing
80 JESSE HILL JR DR SE
ATLANTA, GA 303033031
Phone: (404) 489-2008
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-09-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250917002325 | I | Mental Health Counselor | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30274)
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