BETHANY WILEY LILL NPI 1316298953

NPI Information

  • NPI: 1316298953
  • Provider Name: BETHANY WILEY LILL
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 720 TRANSIT AVE
    SUITE 202
    CANTON, GA
    ZIP 30114
  • Phone: (770) 427-5717

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NPI Details

Bethany Wiley Lill is a surgical physician assistant in Canton, GA with 14 years of experience. Bethany Wiley Lill NPI is 1316298953. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

720 TRANSIT AVE
SUITE 202
CANTON, GA
ZIP 30114-540
Phone: (770) 427-5717
Fax: (770) 514-6744

The NPI 1316298953 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg (HCPCS:J7329)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose (HCPCS:J7323)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray for bone length assessment (HCPCS:77073)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of both knees while standing (HCPCS:73565)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)

The enumeration date for this NPI number is 9/22/2012 and was last updated on 8/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2363AS0400XPhysician AssistantSurgical006629GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
120I2973206OTHERGEORGIAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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