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 Name | Group Practice PAC ID | Number of Group Practice Members | Address | Group Accepts Medicare Assignment |
|---|---|---|---|---|
| 5223 Paulsen St, Savannah, GA 31405-4700 | M | |||
| WELLSTAR MEDICAL GROUP, LLC | 6709065402 | 1932 | 3747 Roswell Rd, Marietta, GA 30062-6227 | Y |
Location Information
| Organization Legal Name | Address | Telephone |
|---|---|---|
| 1000 Towne Ctr Blvd, Suite 305, Pooler, GA 31322-4068 | ||
| 5223 Paulsen St, Savannah, GA 31405-4700 |
Extra Contact Information
| Address | Telephone | Group Practice PAC ID |
|---|---|---|
| 1000 Towne Ctr Blvd, Suite 305, Pooler, GA 31322-4068 | ||
| 1000 Towne Ctr Blvd, Suite 305, Pooler, GA 313224068 | 9123039355 | |
| 5223 Paulsen St, Savannah, GA 31405-4700 | ||
| 5223 Paulsen St, Savannah, GA 314054700 | 9123039355 |
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 Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Hina Batool | Clinical Psychologist | Wellstar Medical Group, LLC | 355 Tower Nerd, Marietta, GA 30060-9408 |
| Peyton Turner Couper | Physician Assistant | Wellstar Medical Group, LLC | 340 Kennestone Hospital Blvd, Suite 100, Marietta, GA 30060-1158 |
| Peter Yong Joon Lee | Psychiatry | Wellstar Medical Group, LLC | 1625 Hospital N Dr, Suite 150, Austell, GA 30106-8111 |
| Kristi Tempro | Neurology | Wellstar Medical Group, LLC | 3000 Hospital Blvd, Roswell, GA 30076-4915 |
| Lataura Atwell-Small | Family Practice | Wellstar Medical Group, LLC | 148 Bill Carruth Pkwy, Hiram, GA 30141-3756 |
| Kia Renee Jones | Otolaryngology | Wellstar Medical Group, LLC | 1360 Upper Hembree Rd, Roswell, GA 30076-1230 |
| Jillian Risa Goro | Nurse Practitioner | Wellstar Medical Group, LLC | 2570 Holcomb Bridge Rd, Suite 110, Alpharetta, GA 30022-5415 |
| Shogofa Halimi | Nurse Practitioner | Wellstar Medical Group, LLC | 1810 White Cir, Suite 105, Marietta, GA 30066-5836 |
| Ami K Amin | Anesthesiology | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Mahvish F Masood | Family Practice | Wellstar Medical Group, LLC | 562 Concord Serd, Smyrna, GA 30082-2608 |
| Find all doctors with the same organization | |||
Doctors with the same school
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Darshna Narendra Patel | Family Practice | Permanente Medical Group Inc | 1650 Los Gamos Dr, San Rafael, CA 94903-1850 |
| Douglas Phillip Cushner | Emergency Medicine | Red Stick Emergency Group LLC | 14105 Hwy 73, Suite 100, Prairieville, LA 70769-3626 |
| Christopher Buchanan | Internal Medicine | Internal Medicine and Geriatrics of Houston, LLC | 1743 Watson Blvd, Suite A, Warner Robins, GA 31093-3622 |
| Bryan K Mcmullen | Marriage and Family Therapist | 144 Pierce Ave, Macon, GA 31204-2860 | |
| Katherine Serafen | Physician Assistant | Generations Family Practice Pa | 1021 Darrington Dr, Suite 101, Cary, NC 27513-8158 |
| Jasmine Zaman | Physician Assistant | Wellstreet of Georgia PC | 2637 Peachtree Pkwy, Suwanee, GA 30024-1048 |
| Heather Duke | Diagnostic Radiology | Northside Radiology Associates LLC | 2859 N Decatur Rd, Decatur, GA 30033-5911 |
| Ryan Keith Tompkins | Diagnostic Radiology | Clhg-Acadian LLC | 3501 Hwy 190, Eunice, LA 70535-5129 |
| Kerisia Wasztyl | Marriage and Family Therapist | The Medical Center of Central Georgia Inc. | 3400 Riverside Dr, Macon, GA 31210-2513 |
| Bonnie K Cole | Marriage and Family Therapist | The Medical Center of Central Georgia Inc. | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 |
| Find all doctors with the same school | |||
Location Information
| Street Address | 3747 ROSWELL RD |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-6227 |
Doctors in the same location
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Jennifer Sargent | Nurse Practitioner | Wellstar Medical Group, LLC | 3747 Roswell Rd, Marietta, GA 30062-6227 |
| Patricia Chambers | Nurse Practitioner | Wellstar Medical Group, LLC | 3747 Roswell Rd, Marietta, GA 30062-6227 |
| Jean S Greer-Lawrence | Nurse Practitioner | Wellstar Medical Group, LLC | 3747 Roswell Rd, Marietta, GA 30062-6227 |
| Stephanie M Lynn | Physician Assistant | Wellstar Medical Group, LLC | 3747 Roswell Rd, Marietta, GA 30062-6227 |
| Jaime Gober | Family Practice | Wellstar Medical Group, LLC | 3747 Roswell Rd, Suite 216, Marietta, GA 30062-6227 |
| Emmalyn Newman | Nurse Practitioner | Wellstar Medical Group, LLC | 3747 Roswell Rd, Marietta, GA 30062-6227 |
| William Kevin Broyles | Family Practice | Wellstar Medical Group, LLC | 3747 Roswell Rd, Marietta, GA 30062-6227 |
| Amberly Winley | Obstetrics/Gynecology | Wellstar Medical Group, LLC | 3747 Roswell Rd, Marietta, GA 30062-6227 |
| Maneesha Sabharwal | Emergency Medicine | Wellstar Medical Group, LLC | 3747 Roswell Rd, Marietta, GA 30062-6227 |
| Katherine F Mault | Qualified Audiologist | Wellstar Medical Group, LLC | 3747 Roswell Rd, Marietta, GA 30062-6227 |
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Doctors in the same zip code
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Nyeshia Sherelle Cohill | Nurse Practitioner | Utm of Georgia Physicians LLC | 3052 Shallowford Rd, Suite 100, Marietta, GA 30062-1252 |
| Linda L Crawford | Chiropractic | Chiropractic Total Health Center, LLC | 1459 Cobb Pkwy N, Marietta, GA 30062-2425 |
| Afsoon Sanei | Clinical Social Worker | 3111 Davis Rd, Marietta, GA 30062-1306 | |
| Joe Southerland | Podiatry | Foot and Ankle Reconstruction of Georgia | 3225 Shallowford Rd, Suite 200, Marietta, GA 30062-1288 |
| Joseph W Lavori | Internal Medicine | American Current Care Pa | 220 N Cobb Pkwy, Suite 400, Marietta, GA 30062-3579 |
| Suzanne M Clous | Podiatry | 3225 Shallowford Rd, Suite 200, Marietta, GA 30062-1288 | |
| Lawrence Jackson Ludtke | Chiropractic | Chiropractic Total Health Center, LLC | 1459 Cobb Pkwy N, Marietta, GA 30062-2425 |
| Hamid Mirsalimi | Clinical Psychologist | Marietta, GA 30062 | |
| Farzeen A Khurram | Hospitalist | Utm of Georgia Physicians LLC | 3052 Shallowford Rd, Suite 100, Marietta, GA 30062-1252 |
| Rena Beth Zweben | Clinical Psychologist | 2730 Brownridge Ct, Marietta, GA 30062-2670 | |
| Find all doctors in the same zip code | |||
Similar Physicians
Doctors with similar names
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Jeremy Eades | Nurse Practitioner | Mount Sinai Medical Center Urology LLC | 3401 Northside Dr, Key West, FL 33040-4238 |
| Brian Eades | Cardiovascular Disease (Cardiology) | Heartplace PLLC | 3801 W 15th St, Suite 320, Plano, TX 75075-7767 |
| Amber L Eades | Nurse Practitioner | American Health Network of Indiana LLC | 1850 State St, New Albany, IN 47150-4990 |
| Nora Eades | Clinical Social Worker | Scott and White Clinic | 425 University Blvd, Round Rock, TX 78665-1053 |
| Amelia Eades Koplow | Clinical Social Worker | Family Service Center of Wilmette Glenview Northbrook Kenilworth | 191 Waukegan Rd, Suite 206, Northfield, IL 60093-2743 |
| Susan Estrella-Eades | Nurse Practitioner | Temple Faculty Practice Plan Inc | 8815 Germantown Ave, Philadelphia, PA 19118-2722 |
| Jasmine D Eades Whatley | Nurse Practitioner | University of Alabama Health Services Foundation, PC | 619 19th St S, Birmingham, AL 35246-0001 |
| Ericka Eades | Occupational Therapy | University of Virginia Physicians Group | 545 Ray C Hunt Dr, Charlottesville, VA 22903-2981 |
| Danielle Elsie Eades | Physician Assistant | Gaston Family Health Services Inc | 991 W Hudson Blvd, Gastonia, NC 28052-6430 |
| Thomas W Eades | Cardiovascular Disease (Cardiology) | Cardiovascular Associates of San Antonio, Pa | 1200 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.
