John Mark Lidell, M.M.SC. , PA-C
NPI 1962487538ActiveIndividual· Physician Assistant· McDonough, GA
Physician Assistant (M.M.SC. , PA-C) with Wellstar Medical Group LLC, practicing in McDonough, Georgia. In 2024 Medicare paid $14,380 for 146 patients, and Part D covered 646 of their prescriptions, 86% of them generic.
Overview
| NPI | 1962487538 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.M.SC. , PA-C |
| Sole proprietor | No |
| NPI issued | Dec 7, 2005 |
| Last updated in NPPES | Oct 27, 2021 |
| Certified by provider | Oct 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 002952 | GA |
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 (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 146 |
|---|---|
| Services billed | 517 across 32 procedure codes |
| Paid by Medicare | $14,380 |
Part D prescriptions in 2024
| Prescriptions (claims) | 646 · 658 30-day fills |
|---|---|
| Patients | 325 |
| Total drug cost | $7,990 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Wellstar Medical Group LLCMarietta, GA · 3,093 clinicians
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 21 physician assistants in McDonough · All physician assistants in Georgia