Individual provider Active NPI

Garrett Willis Nielson, DPM

  • Podiatrist
  • Georgetown, TX
National Provider Identifier
1295256022
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
3069 Issued in TX
Practice address
4869 Williams Dr Ste 105
Georgetown, TX 78633-2432
Phone
(512) 553-1094
NPI assigned
Jul 1, 2017
Last updated
May 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 3069 TX Primary

Addresses

Primary practice location

4869 Williams Dr Ste 105
Georgetown, TX 78633-2432

Mailing address

4869 Williams Dr Ste 105
Georgetown, TX 78633-2432
Phone (512) 553-1094

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250703003413 TX Practitioner - Podiatry 6103242722 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4869 Williams Dr
Suite 105
Georgetown, TX 78633-2432
Phone (512) 759-8220

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue31
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3069TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Healthcare District Podiatrist CurrentSince May 1, 2025 Accepting new patients
Foot & Ankle Specialists of Arizona PLLC Podiatrist CurrentSince Dec 1, 2025 Accepting new patients
Community Care Collaborative PastSince Sep 8, 2024 Accepting new patients

Locations

7942 W Bell Rd
Ste C5424
Glendale, AZ 85308

1111 E Cesar Chavez St
Austin, TX 78702
Phone (512) 978-8000

211 Comal St
Austin, TX 78702
Phone (512) 972-4322

4869 Williams Dr
Ste 105
Georgetown, TX 78633
Phone (512) 553-1094

Interoperability endpoints

  • Direct secure messaging: garrett.nielson.1@16041.direct.athenahealth.com
  • Direct secure messaging: gnielson234172@direct.saint-lukes.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.

NPI Registry JSON

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

{
    "created_epoch": "1498867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1295256022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4869 WILLIAMS DR STE 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332432",
            "telephone_number": "512-553-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4869 WILLIAMS DR STE 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332432",
            "telephone_number": "512-553-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "GARRETT",
        "middle_name": "WILLIS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-01",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "3069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.