An update is presented on the distribution of the meningeal worm (Parelaphostrongylus tenuis) of white-tailed deer (Odocoileus virginianus) in the southeastern United States. The parasite is widely distributed and common in all or much of Arkansas, Kentucky, Louisiana, Maryland, North Carolina, Tennessee, Virginia and West Virginia. It is also common in the northern half of Alabama and Georgia. In contrast, it is rare or absent along the Atlantic and Gulf coastal plains of Alabama, Georgia, Mississippi and South Carolina. It has been collected from a single deer in Florida.