Active NPI
Anthonia D Adewole, M.D
- Colon & Rectal Surgery Physician
- Prosper, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- T9330
- Practice address
- 2120 Prairie Dr Ste 502
Prosper, TX 75078-3820 - Phone
- (469) 447-4893
- Fax
- (469) 447-4925
- NPI assigned
- Mar 31, 2009
- Last updated
- Jul 11, 2025
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | SSN/ITIN DELETED | CT | |
| Colon & Rectal Surgery Physician | 208C00000X | 073405 | GA | |
| Colon & Rectal Surgery Physician | 208C00000X | T9330 | TX | Primary |
Addresses
Primary practice location
2120 Prairie Dr Ste 502
Prosper, TX 75078-3820
Mailing address
2120 Prairie Dr Ste 502
Prosper, TX 75078-3820
Phone (469) 447-4893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2120 Prairie Dr
Suite 502
Prosper, TX 75078-3820
Phone (469) 447-4893
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SSN/ITIN DELETED | CT | MD | Surgery Physician |
| 073405 | GA | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| The Southeast Permanente Medical Group | Surgery | Current | Accepting new patients |
| Mission Colon & Rectal Specialists PLLC | Colon & Rectal Surgery | Current | Accepting new patients |
| Healthtexas Provider Network | Surgery | Current | Accepting new patients |
Locations
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
20 Glenlake Pkwy
Sandy Springs, GA 30328
Phone (770) 677-6247
2750 S Preston Rd
Ste 116264
Celina, TX 75009
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
Interoperability endpoints
- aadewole1135774@direct.sw.org
Organizations & group practices 5
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.
-
- Colon & Rectal Surgery Physician
- Prosper, TX
- NPI 1730997305
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
Surgery
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frisco, TX
- NPI 1801826839
-
dba Methodist Celina Medical Center
- General Acute Care Hospital
- Celina, TX
- NPI 1073294740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1598907925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 PRAIRIE DR STE 502",
"city": "PROSPER",
"state": "TX",
"postal_code": "750783820",
"telephone_number": "469-447-4893",
"fax_number": "469-447-4925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 PRAIRIE DR STE 502",
"city": "PROSPER",
"state": "TX",
"postal_code": "750783820",
"telephone_number": "469-447-4893",
"fax_number": "469-447-4925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEWOLE",
"first_name": "ANTHONIA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-31",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "SSN/ITIN DELETED",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "GA",
"license": "073405",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "TX",
"license": "T9330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prosper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.