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Lillie Grantham , PA

Physician Assistant β€’ Georgetown, TX

Active NPI 1023818143 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

4945 Williams Dr
Georgetown, TX 786332008

Call 5128190500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4945 Williams Dr

Georgetown, TX 786332008

Telephone 5128190500
Organization at the Same NPPES Address or Phone

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Scott And White Clinic. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Lillie Grantham has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Lillie Grantham as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Georgetown and Texas

46 active clinicians are listed under Physician Assistant with a practice address in Georgetown, TX (11,008 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Georgetown

15.2% of these 46 clinicians have the CMS telehealth indicator.

60.9% of these 46 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES TX PA19201

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250724001592

Enrollment State Jurisdiction

TX

PECOS Control ID

0446767537

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Scott And White Clinic

1605 S 31st St, Temple, TX 765080001

Phone: 2542150100

Scott And White Clinic

4945 Williams Dr, Georgetown, TX 786332008

Phone: 5128190500

Scott And White Clinic

810 W U Ave, Temple, TX 765080001

Phone: 2547242585

Scott And White Clinic

2401 S 31st St Bldg, Temple, TX 765080001

Phone: 2547242663

Scott And White Clinic

2600 E Pflugerville Pkwy, Pflugerville, TX 786605999

Scott And White Clinic

1701 E Pflugerville Pkwy, Pflugerville, TX 786608990

Phone: 5122596000

Scott And White Clinic

7451 W State Hwy 29, Georgetown, TX 786286849

Phone: 5125098700

Scott And White Clinic

2401 S 31st St, Temple, TX 765080001

Phone: 2547242459

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

30 listed
Dr. Zayd Al-Nouri , MD

Internal Medicine

NPI 1225471188

Doctor of Medicine (M.D.)

Parisa Amirabadi , PA

Physician Assistant

NPI 1386072494

Physician Assistant

Misty Bell , APRN

Nurse Practitioner - Adult Health

NPI 1932726205

Advanced Practice Registered Nurse

Dr. John Carlson , MD

Internal Medicine - Geriatric Medicine

NPI 1659352680

Doctor of Medicine (M.D.)

NPI 1255629960

Doctor of Optometry

Dr. Spenser Chen , MD

Internal Medicine

NPI 1386633022

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address September 16, 2025

Registered at PO BOX 844658, DALLAS, TX 752844658 (Tel: 8009940371)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2025

Physician Assistant (license number reported to NPPES: TX PA19201)

βœ…
NPI Profile Active March 17, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 17, 2025

Registered at 4945 WILLIAMS DR, GEORGETOWN, TX 786332008 (Tel: 5128190500)

πŸ“
Business Mailing Address (Initial Record) March 17, 2025

Registered at 4330 BULL CREEK RD APT 1123, AUSTIN, TX 787315904 (Tel: 8283813212)

πŸ‘€
Provider Name / Credentials (Initial Record) March 17, 2025

Recorded as LILLIE GRANTHAM, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2025

Physician Assistant

🟒
Initial NPI Registration & Enumeration March 17, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023818143
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2025
Last Update: December 02, 2025
Sole Proprietor: No

Other Physician Assistants in Georgetown

All Physician Assistants in Georgetown

Mailing Address

Po Box 844658

Dallas, TX 752844658

Phone: 8009940371

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.