Organization Active NPI

Meridian Health Partners PLLC

  • Internal Medicine Physician
  • Liberty Hill, TX
National Provider Identifier
1215533807
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MERIDIAN HEALTH PARTNERS PLLC
Practice address
14550 W State Highway 29
Liberty Hill, TX 78642-5792
Phone
(512) 515-0065
NPI assigned
Dec 8, 2020
Last updated
Mar 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Grady GoodwinNPI 1407964158
Title
Authorized Official
Phone
(214) 564-2510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

14550 W State Highway 29
Liberty Hill, TX 78642-5792

Mailing address

PO Box 679676
Dallas, TX 75267-9676
Phone (512) 515-0065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210218002098 TX Part B Supplier - Clinic/Group Practice 5597170878 Receives reassigned benefits from 75 practitioners

National Provider Directory

National Provider Directory

Locations

950 W Bethany Dr
Allen, TX 75013

2918 Duncanville Rd
Dallas, TX 75211
Phone (214) 467-7090

9715 Plano Rd
Dallas, TX 75238
Phone (214) 343-7445

20000 Fiddlers Green Rd
Frisco, TX 75036
Phone (469) 535-2503

2660 Timber Ridge Dr
Frisco, TX 75034
Phone (214) 308-2808

9966 Legacy Dr
Frisco, TX 75033
Phone (214) 494-4264

1150 Colonel Dr
Garland, TX 75043
Phone (800) 696-6536

14550 W State Highway 29
Liberty Hill, TX 78642
Phone (512) 515-0065

701 FM 685
Pflugerville, TX 78660
Phone (512) 649-1474

4546 Bunker Hill Rd
Sachse, TX 75048
Phone (214) 449-1884

7820 Skyline Park Dr
Ste 570
White Settlement, TX 76108
Phone (817) 246-4671

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1215533807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679676",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752679676",
            "telephone_number": "512-515-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 W STATE HIGHWAY 29",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786425792",
            "telephone_number": "512-515-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN HEALTH PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "GRADY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-564-2510"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.