Malcolm Jaquan Eady

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

6849 Peachtree Dunwoody Rd BLDG A1
Atlanta, GA 30328-6769

Phone

(678) 691-2206

Fax

(404) 393-3133

NPI assigned

Jun 26, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1043837065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 ROUNTREE RD APT D26",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302743457",
            "telephone_number": "404-317-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 PEACHTREE DUNWOODY RD BLDG A1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286769",
            "telephone_number": "678-691-2206",
            "fax_number": "404-393-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADY",
        "first_name": "MALCOLM",
        "middle_name": "JAQUAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT",
            "identifier": "000000",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "intake@pathwaysbehavior.com",
            "affiliation": "N",
            "address_1": "6849 Peachtree Dunwoody Rd Bldg A1",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303286769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• E&a Medical
• Jade Eaddy
• Victoria Taylor Eades, LPC
• James Michael Eads, PHARMD
• Natalie Land Eads, O.D.
• Maya Eady, MD
• Vivien Kubricka Eady, CAA
• Melkamua Eagan
• Eaglemd MH SVC LLC
• Eagles Landing Pain & Rehab

• Behavior Analyst in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.