Jill C Gregg, PEDIATRIC NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1011620 Issued in TX

Practice address

601 Fall Creek Hwy
Granbury, TX 76049-7960

Phone

(817) 408-3600

NPI assigned

Mar 14, 2023

Last updated

Mar 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jill.gregg.1@1293.direct.athenahealth.com
• Direct secure messaging: jill.gregg.2@1293.direct.athenahealth.com

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.

• Hood Medical Group

  • Family Medicine Physician
  • Granbury, TX
  • NPI 1225096472
  Medicare reassignment NPD
• Hood Medical Group

  • Rural Health Clinic/Center
  • Granbury, TX
  • NPI 1386341535
  NPD

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1558062778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FALL CREEK HWY",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497960",
            "telephone_number": "817-408-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FALL CREEK HWY",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497960",
            "telephone_number": "817-408-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1308 E Paluxy Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760485609",
            "country_code": "US",
            "telephone_number": "807-579-0084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGG",
        "first_name": "JILL",
        "middle_name": "C",
        "credential": "PEDIATRIC NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1011620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Granbury Surgical Plaza
• Grandbury Dental , PLLC
• Kenneth Gray, DDS
• Stephanie Gray
• Emma Green, MS SLP CF
• Dana Leann Griffith, LPC
• Kimberly Griffiths, CPHT
• Grill Repair, PA
• Megan Guidry, M.ED, NCC, LPC
• Gunjan Dhir PA (Family smiles)

• Pediatric Nurse Practitioner in Granbury, TX
• Providers in Granbury, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.