Individual provider Active NPI

Lori Ann Meadors, PA-C

  • Medical Physician Assistant
  • Bellaire, TX
National Provider Identifier
1073795365
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00335 Issued in TX
Practice address
6565 West Loop S Ste 525
Bellaire, TX 77401-3519
Phone
(713) 661-7888
NPI assigned
Nov 29, 2007
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA887 WY
Medical Physician Assistant 363AM0700X 00335 TX
Medical Physician Assistant 363AM0700X PA00335 TX Primary

Addresses

Primary practice location

6565 West Loop S Ste 525
Bellaire, TX 77401-3519

Mailing address

2711 Ferndale St
Houston, TX 77098-1113
Phone (713) 426-3337

Other practice location 1

2711 Ferndale St
Houston, TX 77098-1113
Phone (713) 426-3337

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
I20050314000263 TX Practitioner - Physician Assistant 2769437714 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Urgent Care, PLLCGroup PAC ID 2961546221, 20 clinicians

Practice addresses (Care Compare)

2812 Oakmark Dr
Suite a
Belton, TX 76513-1200
Phone (254) 300-9191

300 W Central Texas Expy
Suite 115
Harker Heights, TX 76548-1888
Phone (254) 833-8456

4901 S 31St St
Suite 110
Temple, TX 76502-3948
Phone (240) 994-0451

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA887WYMDPhysician Assistant
00335TXMDMedical Physician Assistant
PA00335TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Freedom Urgent Care PLLC PastSince Jan 29, 2023 Accepting new patients
Ajay Aggarwal Past Accepting new patients
Texas Cardiology Associates PastSince Feb 1, 2008 Accepting new patients
Aslam Loya, M.D. P.a Past Accepting new patients
Bay City Texas Anesthesiologists, PA PastSince Feb 12, 2023 Accepting new patients

Locations

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1073795365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 FERNDALE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981113",
            "telephone_number": "713-426-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S STE 525",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013519",
            "telephone_number": "713-661-7888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2711 Ferndale St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770981113",
            "country_code": "US",
            "telephone_number": "713-426-3337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEADORS",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PA887",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "00335",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA00335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.