Organization Active NPI

Jill McCarley, MD, PA

  • Child & Adolescent Psychiatry Physician
  • Athens, TX
National Provider Identifier
1538197751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
JILL MCCARLEY, MD, PA
Practice address
627 S Palestine St
Athens, TX 75751-3355
Phone
(903) 266-2207
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jill Dinwiddie McCarley, M.D.NPI 1417986944
Title
Owner
Phone
(903) 266-2207

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
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

627 S Palestine St
Athens, TX 75751-3355

Mailing address

627 S Palestine St
Athens, TX 75751-3355
Phone (903) 266-2207

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538197751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 S PALESTINE ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513355",
            "telephone_number": "903-266-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 S PALESTINE ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513355",
            "telephone_number": "903-266-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL MCCARLEY, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCARLEY",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "DINWIDDIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-266-2207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.