NPI age
19 years
Enumerated 2006-10-04
● Active
Type 1 · Individual
DR. Jack R Eades, MD
Eades is 1 of 6 allergy & immunology providers in MacOn and 1 of 151 in Georgia.
Primary specialty
Allergy & Immunology
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-05-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 151 active allergy & immunology providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 84% — 15% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
6501 Peake Rd Ste 1000
MacOn, GA 312108052
Mailing address
6501 Peake Rd Ste 1000
MacOn, GA 312108052
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3747 Roswell Rd Ste 205
Marietta, GA 300626227
Specialties
-
Allergy & Immunology PrimaryAn allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00751264D | |
| 05 (GA) | 00751264F | |
| 05 (SC) | G43360 | |
| 05 (GA) | 00751264E |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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