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DR. JENNIFFIER EADY MD
NPI 1508093733
Family Medicine in Southlake, TX

Active since June 15, 2009Opted out of Medicare · through Oct 31, 2026
75.27/100
CMS Quality Rating
1150 N KIMBALL AVE STE 120, SOUTHLAKE, TX 76092(682) 651-8007(844) 750-0657 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2022, Feb 23, 2022, Sep 10, 2018 (3 updates tracked since 2018).

About Dr. Jenniffier Eady Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFFIER EADY MD (NPI 1508093733) is an individual family medicine provider in Southlake, Texas, licensed in Texas (P4593) and active in the NPI registry since June 2009. She has opted out of Medicare through October 31, 2026.

NPPES Registry Identity

NPI1508093733
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JENNIFFIER EADYCredential: MD
Location Address1150 N KIMBALL AVE STE 120Southlake, TX 76092-5570
Mailing Address5 Woodlands CtTrophy Club, TX 76262-9735 · (972) 310-8872 · Fax (844) 750-0657
Phone(682) 651-8007
Fax(844) 750-0657
Sole ProprietorNo
Enumeration DateJune 15, 2009
Last NPPES UpdateOctober 31, 20223 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
✔ NPI 1508093733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · P4593
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1150 N KIMBALL AVE STE 120, Southlake, TX 76092
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Other Names 1

Professional Name (2)Jenniffier Eady Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jenniffier Eady Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 31, 2022 through October 31, 2026.

Opt-Out Effective DateOctober 31, 2022
Opt-Out In Effect ThroughOctober 31, 2026Opt-out affidavits renew automatically every two years unless cancelled

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY JOSEPH LINK M.D.
Internal Medicine (Pulmonary Disease)
1150 N KIMBALL AVE STE 120
SOUTHLAKE, TX 76092
Tarrant County (682) 651-8007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenniffier Eady's NPI number?

The NPI number for Jenniffier Eady is 1508093733. It was assigned to this individual provider in the NPPES registry on June 15, 2009. The provider is also known as Jenniffier Eady MD.

Where is Jenniffier Eady located?

Jenniffier Eady practices at 1150 N Kimball Ave Ste 120, Southlake, TX 76092. The listed phone number is (682) 651-8007.

What is Jenniffier Eady's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jenniffier Eady enrolled in Medicare?

No. Jenniffier Eady has opted out of Medicare through October 31, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jenniffier Eady was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.