MR. JEFFERY BRYANT EADS (NPI# 1366595415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366595415 |
| Entity Type | Individual |
| Full Name | MR. JEFFERY BRYANT EADS |
| Credential | LPC |
| Practice Address |
351 Riverside Dr Mount Airy NC 27030-3850 |
| Mailing Address |
218 Orchard St Mount Airy NC 27030-2812 |
| Practice Telephone | 3367867079 |
| Mailing Telephone | 3367862336 |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
4697 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6102538 | 05 |
| Street Address |
351 RIVERSIDE DR |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-3850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295063790 | Michelle Renee Butler | Nurse Practitioner | 351 Riverside Dr, Mount Airy, NC 27030-3877 | 2009-11-23 |
| 1912181140 | Partnership for A Drug Free Nc Inc | Community/Behavioral Health | 351 Riverside Dr, Mount Airy, NC 27030-3877 | 2007-12-24 |
| 1053512376 | New River Service Authority | Community/Behavioral Health | 351 Riverside Dr, Suite 100, Mount Airy, NC 27030-3878 | 2007-05-31 |
| 1790904498 | Carole Lynn Haislip-rambo | Physician Assistant | 351 Riverside Dr, Mount Airy, NC 27030-3877 | 2007-04-24 |
| 1962536755 | Craig William Smith | Social Worker | 351 Riverside Dr, Mount Airy, NC 27030-3850 | 2007-03-15 |
| 1558494823 | David Wheeler Allred | Marriage & Family Therapist | 351 Riverside Dr, Mount Airy, NC 27030-3850 | 2007-03-14 |
| 1386783355 | Sandra H. Tucker | Counselor | 351 Riverside Dr, Mount Airy, NC 27030-3850 | 2007-02-06 |
| 1679619852 | Triumph LLC | Community/Behavioral Health | 351 Riverside Dr, Suite 100, Mount Airy, NC 27030-3850 | 2007-01-29 |
| 1811041858 | Craig Kendle Arey | Counselor | 351 Riverside Dr, Mount Airy, NC 27030-3850 | 2007-01-23 |
| 1356494256 | Triumph LLC | Counselor | 351 Riverside Dr, Suite 100, Mount Airy, NC 27030-3850 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282913 | Laurie Anne Mombay | Counselor | 6086 Yona Ct, Mount Airy, MD 21771-7446 | 2020-10-10 |
| 1790208122 | Thompson Child Therapy | Counselor | 106 E Ridgeville Blvd Ste 4, Mount Airy, MD 21771-5232 | 2017-07-18 |
| 1912054750 | Joan Dolores Hudson | Counselor | Area Services and Programs, 351 Riverside Drive, Mount Airy, NC 27030 | 2007-01-04 |
| 1194887695 | Easter Seals Ucp Nc & Va, Inc | Counselor | 414 W Lebanon St, Mount Airy, NC 27030-2954 | 2006-12-14 |
| 1497840037 | Carolina Child and Family Services, Inc. | Counselor | 787 E Pine St, Mount Airy, NC 27030-3933 | 2006-10-03 |
| 1477161461 | Hadassah Grace Link | Counselor | 18 Park Ave, Mount Airy, MD 21771-5438 | 2020-07-16 |
| 1134750003 | Kelly Jacobs | Counselor | 18 Park Ave, Mount Airy, MD 21771-5438 | 2020-01-30 |
| 1417509985 | Melody Denise Slawter | Counselor | 3615 Rockford St, Mount Airy, NC 27030-7847 | 2019-07-15 |
| 1437618626 | Vivian Whitlock France | Counselor | 130 Williamson Ave, Mount Airy, NC 27030-5156 | 2019-03-18 |
| 1881182475 | Roots To Wings, LLC | Counselor | 106 E Ridgeville Blvd Ste 4, Mount Airy, MD 21771-5248 | 2018-04-29 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
Please comment or provide details below to improve the information on MR. JEFFERY BRYANT EADS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.