Individual provider Active NPI

Jill R Meredith, APRN,PNP-PC

  • Pediatric Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1366831612
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP126871 Issued in TX
Practice address
2423 Williams Dr Ste 103
Georgetown, TX 78628-3200
Phone
(877) 800-5722
NPI assigned
Jan 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP126871 TX Primary
Nurse Practitioner 363L00000X AP126871 TX
Family Nurse Practitioner 363LF0000X 622606 TX

Addresses

Primary practice location

2423 Williams Dr Ste 103
Georgetown, TX 78628-3200

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722

Other practice location 1

3950 N A W Grimes Blvd Ste N201
Round Rock, TX 78665-3540
Phone (877) 800-5722

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150420000477 TX Practitioner - Nurse Practitioner 5395063556 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP126871TXMDNurse Practitioner
622606TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Circle of Care CurrentSince Nov 11, 2024 Accepting new patients
Longhorn Emergency Medical Associates PA Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
Lone Star Circle of Care CurrentSince Nov 11, 2024 Accepting new patients
Lone Star Circle of Care Past Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

2423 Williams Dr
Ste 103
Georgetown, TX 78628

2423 Williams Dr
Ste 105
Georgetown, TX 78628

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

3950 N A W Grimes Blvd
Ste N201
Round Rock, TX 78665
Phone (512) 524-9282

Interoperability endpoints

  • Direct secure messaging: jill.meredith.1@29821.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1366831612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 103",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283200",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 N A W Grimes Blvd Ste N201",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786653540",
            "country_code": "US",
            "telephone_number": "877-800-5722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "JILL",
        "middle_name": "R",
        "credential": "APRN,PNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-09",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP126871",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP126871",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "622606",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.