Individual provider Active NPI

Jill Ann Reid, FNP

  • Family Nurse Practitioner
  • Hickory, NC
National Provider Identifier
1710833827
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5024448 Issued in NC
Practice address
2660 Tate Blvd SE Ste 201
Hickory, NC 28602-1466
Phone
(704) 659-7860
NPI assigned
Mar 10, 2026
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5024448 NC Primary
Registered Nurse 163W00000X 261620 NC

Addresses

Primary practice location

2660 Tate Blvd SE Ste 201
Hickory, NC 28602-1466

Mailing address

3294 Overbrook Dr
Conover, NC 28613-8222
Phone (828) 413-9114

Other practice location 1

9930 Kincey Ave Ste 165
Huntersville, NC 28078-6541
Phone (704) 947-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
261620NCMDRegistered Nurse
5024448NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oncology Specialists, PLLC CurrentSince Jul 6, 2026 Accepting new patients
Southern Oncology Specialists, PLLC CurrentSince Jul 6, 2026 Accepting new patients

Locations

9930 Kincey Ave
Ste 165
Huntersville, NC 28078
Phone (704) 947-5005

Organizations & group practices 2

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": "1773100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1710833827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3294 OVERBROOK DR",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138222",
            "telephone_number": "828-413-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 TATE BLVD SE STE 201",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021466",
            "telephone_number": "704-659-7860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9930 Kincey Ave Ste 165",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280786541",
            "country_code": "US",
            "telephone_number": "704-947-5005",
            "fax_number": "877-881-8455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "JILL",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5024448",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "261620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.