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Dr. John Eanes , MD

Pediatrics β€’ Brookhaven, GA

Active NPI 1609866938 Individual Practitioner Male Practitioner
Practice location in NPPES

1577 Northeast Expy Ne
Brookhaven, GA 303292401

Call 4047850976 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1577 Northeast Expy Ne

Brookhaven, GA 303292401

Telephone 4047850976
Fax 4047855845
Organization at the Same NPPES Address or Phone
Premise Health Of Georgia Medical Pc Facility NPI 1093178147

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Eanes has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Eanes as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Brookhaven and Georgia

7 active clinicians are listed under Pediatrics with a practice address in Brookhaven, GA (2,258 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-23
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES GA 56433

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - EMERGENCY MEDICINE

Medicare Enrollment ID

I20151231000041

Enrollment State Jurisdiction

GA

PECOS Control ID

1355363631

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location April 23, 2025

Registered at 1577 NORTHEAST EXPY NE, BROOKHAVEN, GA 303292401 (Tel: 4047850976)

πŸ“
Updated Practice Location June 25, 2021

Registered at 1001 JOHNSON FY RD NE, ATLANTA, GA 303421605 (Tel: 4047854826)

πŸ“
Updated Business Mailing Address June 25, 2021

Registered at 1001 JOHNSON FY RD NE, ATLANTA, GA 303421605 (Tel: 4047854826)

πŸ‘€
Provider Name / Credentials Updated June 25, 2021

Recorded as JOHN EANES, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2021

Pediatrics (license number reported to NPPES: GA 56433)

βœ…
NPI Profile Active April 11, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 11, 2013

Registered at 5488 N ALABAMA AVE, OMEGA, GA 317753054 (Tel: 2295284546)

πŸ“
Business Mailing Address (Initial Record) April 11, 2013

Registered at 5488 N ALABAMA AVE, OMEGA, GA 317753054

πŸ‘€
Provider Name / Credentials (Initial Record) April 11, 2013

Recorded as JOHN EANES, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2013

Pediatrics (license number reported to NPPES: GA GA056433)

🟒
Initial NPI Registration & Enumeration October 27, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1609866938
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2005
Last Update: April 23, 2025
Sole Proprietor: No

Other Pediatrics Specialists in Brookhaven

Healthcare providers in Brookhaven

Mailing Address

1001 Johnson Fy Rd Ne

Atlanta, GA 303421605

Phone: 4047854826

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.