Individual provider Active NPI

Lashaundra Marie Thedford Adley, MD

  • General Practice Physician
  • Mexia, TX
National Provider Identifier
1104069228
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
37174 Issued in AL
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

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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 IDStateProvider typePAC IDDetails
I20181023003417 AL Practitioner - Internal Medicine 3274760632

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.67 of 100Reported as apm
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

LicenseStateTypeSpecialty
MD.37174ALMDPediatrics Physician
P7361TXMDPediatrics Physician
37174ALMDGeneral Practice Physician

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.