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NPI · 1962487538 · NPPES-sourced

Prof. John Lidell M.M.SC. , PA-C

ActivePhysician Assistant
NPI Number
1962487538
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(404) 996-0126
License GA · 002952
Last Updated
Enumerated
Primary practice addressGA · 30253-7076
101 Regency Park Dr Ste 110Mcdonough, GA 30253-7076
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About this NPIWhat this record shows.

NPI 1962487538 is registered to Prof. John Lidell M.M.SC. , PA-C, a Physician Assistant practising at 101 Regency Park Dr Ste 110 in Mcdonough, Georgia. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Prof. John Lidell M.M.SC. , PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Prof. John Lidell M.M.SC. , PA-C accepts. To confirm in-network status with your specific health plan, contact Prof. John Lidell M.M.SC. , PA-C directly at (404) 996-0126.

Frequently asked

Yes. NPI 1962487538 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (404) 996-0126.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Prof. John Lidell M.M.SC. , PA-C is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
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