Lillie Grantham, PA
NPI 1023818143ActiveIndividual· Physician Assistant· Georgetown, TX
Physician Assistant (PA) with Scott and White Clinic, practicing in Georgetown, Texas. Enrolled in Medicare as practitioner - physician assistant. Lists Baylor Scott & White Medical Center - Round Rock and 1 other hospital as hospital affiliations.
Overview
| NPI | 1023818143 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Mar 17, 2025 |
| Last updated in NPPES | Dec 2, 2025 |
| Certified by provider | Dec 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA19201 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TX) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Scott and White ClinicCollege Station, TX · 2,461 clinicians
Hospital affiliations
- Baylor Scott & White Medical Center - Round RockRound Rock, TX
- Baylor Scott & White Medical Center PflugervillePflugerville, TX
Other facilities
- Baylor Scott & White Institute for RehabilitationInpatient rehabilitation facility · Lakeway, TX
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 48 physician assistants in Georgetown · All physician assistants in Texas