SHANNON BROWN MEADOR (D.O.) – Psychiatry Physician, NPI 1568741346

SHANNON BROWN MEADOR (D.O.) is a healthcare provider. based in Cutler bay, Florida. specializing in PSYCHIATRY. They hold the professional credentials D.O.. They hold a License No. UO 4213 (FL). The NPI Number for SHANNON BROWN MEADOR (D.O.) is 1568741346

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON BROWN MEADOR (D.O.)
NPI
1568741346
Phone
(305) 253-5100
Address
10300 SW 216TH ST
Enumeration Date
10 August 2011
Last Update Date
13 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9038777200
Graduation Year
2002 (24 years ago)
PAC ID
6406105345
Group Practice PAC ID
4981699220
Professional Enrollment ID
I20231219000268
Address ID
TX757083154TY11937271X400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,954 PSYCHIATRY in FL

Provider Addresses for SHANNON BROWN MEADOR (D.O.)

  • 10300 SW 216TH ST

    CUTLER BAY, FL 331901003

    Phone: (305) 253-5100

    Type: Location

  • 10300 SW 216th St

    Cutler Bay, FL 331901003

    Phone: (305) 253-5100

    Type: Location

  • 11937 US HIGHWAY 271

    TYLER, TX 757083154

    Phone: (903) 877-7200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231219000268IPsychiatryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33190)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981699220View full group profile
NameSpecialtyState
P S Y C H I A T R YLA
-TX
Pediatric Medicine, Pulmonary DiseaseTX
Nurse PractitionerTX
-TX
Clinical PsychologistWA
Nurse PractitionerFL
P S Y C H I A T R YTX
-TX
E N D O C R I N O L O G YTX

Reviews

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Frequently asked questions

Where can patients find SHANNON BROWN MEADOR (D.O.)'s NPI?
You can confirm SHANNON BROWN MEADOR (D.O.) with NPI 1568741346; it appears in the national provider directory.
Does this profile mean SHANNON BROWN MEADOR (D.O.) is currently active?
Yes — SHANNON BROWN MEADOR (D.O.) appears active in the national provider directory.
Does SHANNON BROWN MEADOR (D.O.) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for SHANNON BROWN MEADOR (D.O.). Clinical services aligned with this taxonomy classification.
What location shows for SHANNON BROWN MEADOR (D.O.)?
We surface Cutler Bay, Florida for SHANNON BROWN MEADOR (D.O.) based on available NPPES addresses.
What if Cutler Bay, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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