Individual
DR. JACK R EADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6501 PEAKE RD STE 1000, MACON, GA 31210-8052
(478) 607-2514
(478) 607-2513
Mailing address
6501 PEAKE RD STE 1000, MACON, GA 31210-8052
(478) 607-2514
(478) 607-2513
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
043360
GA
207K00000X
Allergy & Immunology Physician
20053
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00751264D
—
GA
05
—
00751264E
—
GA
05
—
00751264F
—
GA
05
—
G43360
—
SC
Enumeration date
10/04/2006
Last updated
05/17/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us