Active NPI
Lashaundra Marie Thedford Adley, MD
- General Practice Physician
- Mexia, TX
National Provider Identifier
1104069228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 37174
- Practice address
- 514 S Bonham St
Mexia, TX 76667-3600 - Phone
- (254) 562-9321
- Fax
- (254) 562-3570
- NPI assigned
- Apr 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 37174 | AL | Primary |
| Pediatrics Physician | 208000000X | P7361 | TX | |
| Pediatrics Physician | 208000000X | MD.37174 | AL |
Addresses
Primary practice location
514 S Bonham St
Mexia, TX 76667-3600
Mailing address
514 S Bonham St
Mexia, TX 76667-3600
Other names 1
- Lashaundra Marie Thedford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Opted out of Medicare
- Yes, effective May 11, 2026 through May 11, 2028
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181023003417 | AL | Practitioner - Internal Medicine | 3274760632 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 98.67 of 100
- Quality
- 80.18
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.37174 | AL | MD | Pediatrics Physician |
| P7361 | TX | MD | Pediatrics Physician |
| 37174 | AL | MD | General Practice Physician |
Interoperability endpoints
- thedford-smith.lashaundra@direct.uabmw.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1104069228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 S BONHAM ST",
"city": "MEXIA",
"state": "TX",
"postal_code": "766673600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 S BONHAM ST",
"city": "MEXIA",
"state": "TX",
"postal_code": "766673600",
"telephone_number": "254-562-9321",
"fax_number": "254-562-3570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEDFORD ADLEY",
"first_name": "LASHAUNDRA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-20",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "37174",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P7361",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "MD.37174",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LASHAUNDRA",
"last_name": "THEDFORD",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mexia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.