Individual provider Active NPI

Michael Grey Meador Jr., PA-C

  • Physician Assistant
  • Willow Park, TX
National Provider Identifier
1033424189
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06856 Issued in TX
Practice address
251 Crown Pointe Blvd
Willow Park, TX 76087-1118
Phone
(817) 489-7300
Fax
(817) 489-7302
NPI assigned
Aug 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06856 TX Primary

Addresses

Primary practice location

251 Crown Pointe Blvd
Willow Park, TX 76087-1118

Mailing address

251 Crown Pointe Blvd
Willow Park, TX 76087-1118
Phone (817) 489-7300

Other practice location 1

929 Hilltop Dr
Weatherford, TX 76086-5845
Phone (817) 596-7576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101228000941 TX Practitioner - Physician Assistant 4789872201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Medical Specialists, PLLCGroup PAC ID 3072895788, 86 clinicians

Practice addresses (Care Compare)

1308 E Paluxy Rd
205 Lonestar Medical General Surgery
Granbury, TX 76048-5689
Phone (817) 489-7450

7777 Forest LN
Suite C300
Dallas, TX 75230-2514
Phone (972) 566-6000

Hospital & facility affiliations

  • Beyondfaith Homecare & Rehab of Ft Worth LLC Home health agency, Weatherford, TX, CCN 747521
  • Angels Care Home Health Home health agency, Weatherford, TX, CCN 677099
  • Medical City Weatherford Hospital, Weatherford, TX, CCN 450203
  • Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596

Merit-based Incentive Payment System (MIPS)

Final score
82.37 of 100Reported as group
Quality
68.64
Promoting interoperability
99
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA06856TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Provider Network Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michael.meador@hca7.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1033424189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 CROWN POINTE BLVD",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760871118",
            "telephone_number": "817-489-7300",
            "fax_number": "817-489-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 CROWN POINTE BLVD",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760871118",
            "telephone_number": "817-489-7300",
            "fax_number": "817-489-7302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 Hilltop Dr",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760865845",
            "country_code": "US",
            "telephone_number": "817-596-7576",
            "fax_number": "817-594-7901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEADOR",
        "first_name": "MICHAEL",
        "middle_name": "GREY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-13",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Park, TX

Sources for this page

Verify at the official NPI Registry.