Jack R Eades · 3747 Roswell Rd, Marietta, GA 30062-6227 · Allergy/Immunology · Wellstar Medical Group, LLC (2024)

Medicare Doctors and Clinicians

Allergy/Immunology · 3747 Roswell Rd, Marietta, GA 30062-6227

Overview

Jack R Eades is a allergy/immunology enrolled with Centers for Medicare & Medicaid Services (CMS). The organization name is WELLSTAR MEDICAL GROUP, LLC. The business address is 3747 Roswell Rd, Marietta, GA 30062-6227. Published on December 3, 2004.

Enrollment Information

NPI 1992890727 Nation Provider Identifier (NPI)
National Plan and Provider Enumeration System (NPPES)
PAC ID 2567428352 PECOS Associate Control (PAC) ID
Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20041203000272
Full Name JACK R EADES
Gender M
Credential MD - Medical Doctor
Medical School MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1992
Primary Specialty ALLERGY/IMMUNOLOGY
Organization Legal Name WELLSTAR MEDICAL GROUP, LLC
Group Practice PAC ID 6709065402
Number of Group Practice Members 1932
Address 3747 Roswell Rd
Marietta
GA 30062-6227
Professional Accepts Medicare Assignment Y - Accepts Medicare approved amount as payment in full
Group Accepts Medicare Assignment Y - Accepts Medicare approved amount as payment in full

Provider Overview

NPI 1992890727 Nation Provider Identifier (NPI)
National Plan and Provider Enumeration System (NPPES)
Provider Name JACK R EADES
Address 6501 Peake Rd Ste 1000
Macon
GA 31210-8052
Taxonomy Code 207K00000X
Enumeration Date 2006-10-04

Organization Information

Organization Legal NameGroup Practice PAC IDNumber of Group Practice MembersAddressGroup Accepts Medicare Assignment
5223 Paulsen St, Savannah, GA 31405-4700M
WELLSTAR MEDICAL GROUP, LLC670906540219323747 Roswell Rd, Marietta, GA 30062-6227Y

Location Information

Organization Legal NameAddressTelephone
1000 Towne Ctr Blvd, Suite 305, Pooler, GA 31322-4068
5223 Paulsen St, Savannah, GA 31405-4700

Extra Contact Information

AddressTelephoneGroup Practice PAC ID
1000 Towne Ctr Blvd, Suite 305, Pooler, GA 31322-4068
1000 Towne Ctr Blvd, Suite 305, Pooler, GA 3132240689123039355
5223 Paulsen St, Savannah, GA 31405-4700
5223 Paulsen St, Savannah, GA 3140547009123039355

Organization Information

Organization Legal Name WELLSTAR MEDICAL GROUP, LLC
Address 3747 Roswell Rd
Marietta
GA 30062-6227
Medical School MERCER UNIVERSITY SCHOOL OF MEDICINE

Doctors with the same organization

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Hina Batool Clinical PsychologistWellstar Medical Group, LLC355 Tower Nerd, Marietta, GA 30060-9408
Peyton Turner Couper Physician AssistantWellstar Medical Group, LLC340 Kennestone Hospital Blvd, Suite 100, Marietta, GA 30060-1158
Peter Yong Joon Lee PsychiatryWellstar Medical Group, LLC1625 Hospital N Dr, Suite 150, Austell, GA 30106-8111
Kristi Tempro NeurologyWellstar Medical Group, LLC3000 Hospital Blvd, Roswell, GA 30076-4915
Lataura Atwell-Small Family PracticeWellstar Medical Group, LLC148 Bill Carruth Pkwy, Hiram, GA 30141-3756
Kia Renee Jones OtolaryngologyWellstar Medical Group, LLC1360 Upper Hembree Rd, Roswell, GA 30076-1230
Jillian Risa Goro Nurse PractitionerWellstar Medical Group, LLC2570 Holcomb Bridge Rd, Suite 110, Alpharetta, GA 30022-5415
Shogofa Halimi Nurse PractitionerWellstar Medical Group, LLC1810 White Cir, Suite 105, Marietta, GA 30066-5836
Ami K Amin AnesthesiologyWellstar Medical Group, LLC625 Church Nest, Marietta, GA 30060-1101
Mahvish F Masood Family PracticeWellstar Medical Group, LLC562 Concord Serd, Smyrna, GA 30082-2608
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Doctors with the same school

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Darshna Narendra Patel Family PracticePermanente Medical Group Inc1650 Los Gamos Dr, San Rafael, CA 94903-1850
Douglas Phillip Cushner Emergency MedicineRed Stick Emergency Group LLC14105 Hwy 73, Suite 100, Prairieville, LA 70769-3626
Christopher Buchanan Internal MedicineInternal Medicine and Geriatrics of Houston, LLC1743 Watson Blvd, Suite A, Warner Robins, GA 31093-3622
Bryan K Mcmullen Marriage and Family Therapist144 Pierce Ave, Macon, GA 31204-2860
Katherine Serafen Physician AssistantGenerations Family Practice Pa1021 Darrington Dr, Suite 101, Cary, NC 27513-8158
Jasmine Zaman Physician AssistantWellstreet of Georgia PC2637 Peachtree Pkwy, Suwanee, GA 30024-1048
Heather Duke Diagnostic RadiologyNorthside Radiology Associates LLC2859 N Decatur Rd, Decatur, GA 30033-5911
Ryan Keith Tompkins Diagnostic RadiologyClhg-Acadian LLC3501 Hwy 190, Eunice, LA 70535-5129
Kerisia Wasztyl Marriage and Family TherapistThe Medical Center of Central Georgia Inc.3400 Riverside Dr, Macon, GA 31210-2513
Bonnie K Cole Marriage and Family TherapistThe Medical Center of Central Georgia Inc.3780 Eisenhower Pkwy, Macon, GA 31206-0800
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Location Information

Street Address 3747 ROSWELL RD
City MARIETTA
State GA
Zip Code 30062-6227

Doctors in the same location

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Jennifer Sargent Nurse PractitionerWellstar Medical Group, LLC3747 Roswell Rd, Marietta, GA 30062-6227
Patricia Chambers Nurse PractitionerWellstar Medical Group, LLC3747 Roswell Rd, Marietta, GA 30062-6227
Jean S Greer-Lawrence Nurse PractitionerWellstar Medical Group, LLC3747 Roswell Rd, Marietta, GA 30062-6227
Stephanie M Lynn Physician AssistantWellstar Medical Group, LLC3747 Roswell Rd, Marietta, GA 30062-6227
Jaime Gober Family PracticeWellstar Medical Group, LLC3747 Roswell Rd, Suite 216, Marietta, GA 30062-6227
Emmalyn Newman Nurse PractitionerWellstar Medical Group, LLC3747 Roswell Rd, Marietta, GA 30062-6227
William Kevin Broyles Family PracticeWellstar Medical Group, LLC3747 Roswell Rd, Marietta, GA 30062-6227
Amberly Winley Obstetrics/GynecologyWellstar Medical Group, LLC3747 Roswell Rd, Marietta, GA 30062-6227
Maneesha Sabharwal Emergency MedicineWellstar Medical Group, LLC3747 Roswell Rd, Marietta, GA 30062-6227
Katherine F Mault Qualified AudiologistWellstar Medical Group, LLC3747 Roswell Rd, Marietta, GA 30062-6227
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Doctors in the same zip code

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Nyeshia Sherelle Cohill Nurse PractitionerUtm of Georgia Physicians LLC3052 Shallowford Rd, Suite 100, Marietta, GA 30062-1252
Linda L Crawford ChiropracticChiropractic Total Health Center, LLC1459 Cobb Pkwy N, Marietta, GA 30062-2425
Afsoon Sanei Clinical Social Worker3111 Davis Rd, Marietta, GA 30062-1306
Joe Southerland PodiatryFoot and Ankle Reconstruction of Georgia3225 Shallowford Rd, Suite 200, Marietta, GA 30062-1288
Joseph W Lavori Internal MedicineAmerican Current Care Pa220 N Cobb Pkwy, Suite 400, Marietta, GA 30062-3579
Suzanne M Clous Podiatry3225 Shallowford Rd, Suite 200, Marietta, GA 30062-1288
Lawrence Jackson Ludtke ChiropracticChiropractic Total Health Center, LLC1459 Cobb Pkwy N, Marietta, GA 30062-2425
Hamid Mirsalimi Clinical PsychologistMarietta, GA 30062
Farzeen A Khurram HospitalistUtm of Georgia Physicians LLC3052 Shallowford Rd, Suite 100, Marietta, GA 30062-1252
Rena Beth Zweben Clinical Psychologist2730 Brownridge Ct, Marietta, GA 30062-2670
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Similar Physicians

Doctors with similar names

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Jeremy Eades Nurse PractitionerMount Sinai Medical Center Urology LLC3401 Northside Dr, Key West, FL 33040-4238
Brian Eades Cardiovascular Disease (Cardiology)Heartplace PLLC3801 W 15th St, Suite 320, Plano, TX 75075-7767
Amber L Eades Nurse PractitionerAmerican Health Network of Indiana LLC1850 State St, New Albany, IN 47150-4990
Nora Eades Clinical Social WorkerScott and White Clinic425 University Blvd, Round Rock, TX 78665-1053
Amelia Eades Koplow Clinical Social WorkerFamily Service Center of Wilmette Glenview Northbrook Kenilworth191 Waukegan Rd, Suite 206, Northfield, IL 60093-2743
Susan Estrella-Eades Nurse PractitionerTemple Faculty Practice Plan Inc8815 Germantown Ave, Philadelphia, PA 19118-2722
Jasmine D Eades Whatley Nurse PractitionerUniversity of Alabama Health Services Foundation, PC619 19th St S, Birmingham, AL 35246-0001
Ericka Eades Occupational TherapyUniversity of Virginia Physicians Group545 Ray C Hunt Dr, Charlottesville, VA 22903-2981
Danielle Elsie Eades Physician AssistantGaston Family Health Services Inc991 W Hudson Blvd, Gastonia, NC 28052-6430
Thomas W Eades Cardiovascular Disease (Cardiology)Cardiovascular Associates of San Antonio, Pa1200 Brooklyn Ave, Suite 200, San Antonio, TX 78212-4829

Improve Information

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Dataset Information

This dataset includes over one million physicians and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider Centers for Medicare & Medicaid Services (CMS)
Source data.cms.gov

Dataset Details

The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare. The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program. The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data. The Doctors and Clinicians data contains the following information:

  • The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
  • Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
  • Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
  • performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
  • Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.

This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA). The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Jack R Eades · 3747 Roswell Rd, Marietta, GA 30062-6227 · Allergy/Immunology · Wellstar Medical Group, LLC (2024)

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