NPIMap

Individual provider Active NPI

Meredith Hawkins Pridgeon, D.O.

  • Internal Medicine Physician
  • Granbury, TX
National Provider Identifier
1184086191
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S1120 Issued in TX
Practice address
1318 Paluxy Rd
Granbury, TX 76048-5655
Phone
(817) 573-8805
Fax
(817) 279-9515
NPI assigned
Mar 28, 2016
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X S1120 TX Primary

Addresses

Primary practice location

1318 Paluxy Rd
Granbury, TX 76048-5655

Mailing address

1318 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-8805

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address meredith.pridgeon.1@1293.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190730004253 TX Practitioner - Internal Medicine 5395025449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hood Medical GroupGroup PAC ID 2567446669, 56 clinicians

Practice addresses (Care Compare)

1308 E Paluxy Rd
Granbury, TX 76048-5655

1310 B Paluxy Rd
Granbury, TX 76048-5655

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 579-2963

1318 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-8805

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S1120TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hood Medical Group Internal Medicine CurrentSince Aug 19, 2019 Accepting new patients
Hood Medical Group CurrentSince Aug 19, 2019 Accepting new patients

Locations

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

1318 Paluxy Rd
Granbury, TX 76048
Phone (800) 650-4990

Interoperability endpoints

  • Direct secure messaging: meredith.pridgeon.1@1293.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1184086191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485655",
            "telephone_number": "817-573-8805",
            "fax_number": "817-279-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485655",
            "telephone_number": "817-573-8805",
            "fax_number": "817-279-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS PRIDGEON",
        "first_name": "MEREDITH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S1120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meredith.pridgeon.1@1293.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1318 Paluxy Rd",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760485655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.