Individual provider Active NPI

Adelina G. Meadows, MD

  • Pediatric Endocrinology Physician
  • Tyler, TX
National Provider Identifier
1124375969
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
N8818 Issued in TX
Practice address
8934 S Broadway Ave Ste 448
Tyler, TX 75703-5475
Phone
(903) 606-5100
Fax
(903) 606-5105
NPI assigned
Aug 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X N8818 TX Primary
Pediatric Endocrinology Physician 2080P0205X 01074060A IN

Addresses

Primary practice location

8934 S Broadway Ave Ste 448
Tyler, TX 75703-5475

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400

Other practice location 1

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-5678

Other practice location 2

7950 W Jefferson Blvd
Suite 210
Fort Wayne, IN 46804-4140
Phone (260) 435-7427

Other practice location 3

3593 E Grande Blvd
Tyler, TX 75707-1400
Phone (903) 839-2585

Other practice location 4

706 Turtle Creek Dr
Tyler, TX 75701-1833
Phone (903) 595-3942

Other practice location 5

1120 Front St
Tyler, TX 75702
Phone (903) 606-3630

Other practice location 6

7950 W Jefferson Blvd
Suite 210
Fort Wayne, IN 46804-4140
Phone (260) 435-7427

Other identifiers 4

IdentifierTypeStateIssuer
201230860MedicaidIN
379806801MedicaidTX
8HF356OtherTXBCBS
P01938229OtherTXMEDICARE RAIL ROAD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171004002841 TX Practitioner - Pediatric Medicine 9234359878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

706 Turtle Creek Dr
Tyler, TX 75701-1833
Phone (903) 595-3942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N8818TXMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mother Frances Hospital Jacksonville CurrentSince Jan 14, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 18, 2017 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 18, 2017 Accepting new patients
Trinity Clinic Past Accepting new patients

Locations

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

1120 E Front St
Tyler, TX 75702
Phone (903) 597-7902

706 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 593-1786

Interoperability endpoints

  • Direct secure messaging: ameadows147253@christushealth.direct-ci.net

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1344643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1124375969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8934 S BROADWAY AVE STE 448",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035475",
            "telephone_number": "903-606-5100",
            "fax_number": "903-606-5105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2026 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "TX",
            "postal_code": "757665822",
            "country_code": "US",
            "telephone_number": "903-586-5678",
            "fax_number": "903-541-4679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7950 W Jefferson Blvd",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044140",
            "country_code": "US",
            "telephone_number": "260-435-7427",
            "fax_number": "260-435-6947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3593 E Grande Blvd",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757071400",
            "country_code": "US",
            "telephone_number": "903-839-2585",
            "fax_number": "903-595-3005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "706 Turtle Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757011833",
            "country_code": "US",
            "telephone_number": "903-595-3942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 Front St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "75702",
            "country_code": "US",
            "telephone_number": "903-606-3630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7950 W Jefferson Blvd",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044140",
            "country_code": "US",
            "telephone_number": "260-435-7427",
            "fax_number": "260-435-6947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "ADELINA",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-11",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "TX",
            "license": "N8818",
            "primary": true
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "IN",
            "license": "01074060A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201230860",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379806801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8HF356",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P01938229",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.