Individual provider Active NPI

Jill Danette Awtrey, DO

  • Psychiatry Physician
  • Paris, TX
National Provider Identifier
1295789949
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L4233 Issued in TX
Practice address
2850 Lewis LN
#109
Paris, TX 75462-2019
Phone
(903) 782-9500
Fax
(903) 782-9550
NPI assigned
May 19, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X L4233 TX Primary

Addresses

Primary practice location

2850 Lewis LN
#109
Paris, TX 75462-2019

Mailing address

PO Box 6217
Paris, TX 75461
Phone (903) 782-9500

Other identifiers 1

IdentifierTypeStateIssuer
3017OtherOKOUT OF STATE LICENSE NUMB

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040204000236 TX Practitioner - Psychiatry 1153214127 Practice locations: Paris, TX

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Oklahoma State University College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2850 Lewis LN
Suite 109
Paris, TX 75462
Phone (903) 782-9500

3605 NE Loop
286 Suite 2000
Paris, TX 75460-5085
Phone (903) 782-9500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Psychiatric Services PC Psychiatry Past Accepting new patients

Organizations & group practices 1

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295789949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6217",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "75461",
            "telephone_number": "903-782-9500",
            "fax_number": "903-782-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 LEWIS LN",
            "address_2": "#109",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754622019",
            "telephone_number": "903-782-9500",
            "fax_number": "903-782-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWTREY",
        "first_name": "JILL",
        "middle_name": "DANETTE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L4233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT OF STATE LICENSE NUMB",
            "identifier": "3017",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.