Active NPI 1962487538 Individual Practitioner Male Practitioner

John Mark Lidell , MMSC, PA-C

Physician Assistant • Mcdonough, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

John Lidell, MMSC, PA-C is a certified Physician Assistant practicing in Mcdonough, GA. With approximately 30 years of clinical experience since completing medical education in 1996, John Lidell delivers high-quality medical care to the local community at 101 REGENCY PARK DR STE 110.

John Lidell is affiliated with Wellstar Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 Regency Park Dr Ste 110

Mcdonough, GA 302537076

Telephone 4049960126

Fax 6784322626

Associated Practice Facility / Clinic

🏢 Wellstreet Of Georgia Pc Facility NPI 1164910253

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mcdonough, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +14.5 yrs vs City Avg

City Avg: 15.5 Yrs

State Avg: 12.9 Yrs

Regional Practice Density

21 Specialists

Practicing in Mcdonough, GA (4726 Statewide)

Telehealth Adoption Rate

4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lidell (30 Years) 30 Yrs

Mcdonough Specialty Average (15.5 Years) 15.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	93	89	$208.43	$78.47
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	45	44	$135.16	$68.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$271.17	$95.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	20	$72.00	$12.34
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	23	23	$62.09	$16.20
81003 Automated urinalysis test	21	21	$12.00	$2.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$129.00	$48.93
71046 X-ray of chest, 2 views	14	14	$63.00	$23.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$297.00	$110.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	47	$198.51	$77.33
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	44	42	$130.00	$49.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	23	$72.00	$12.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$246.52	$96.10
81003 Automated urinalysis test	26	21	$12.00	$2.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	24	22	$60.00	$16.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$274.33	$109.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	40	$233.78	$109.92
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	37	37	$128.22	$30.50
99213 Established patient office or other outpatient visit, typically 15 minutes	33	32	$172.09	$77.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$332.77	$140.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$222.62	$96.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	19	$58.36	$12.30
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	20	17	$69.75	$34.85
81003 Automated urinalysis test	20	20	$10.40	$2.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	46	40	$59.00	$51.31
99213 Established patient office or other outpatient visit, typically 15 minutes	34	31	$202.82	$78.47
87804 Detection test by immunoassay with direct visual observation for influenza virus	32	16	$36.85	$16.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$219.56	$96.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$270.59	$111.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$331.84	$144.85
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	12	12	$65.33	$35.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	120	13	$5.00	$0.12
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	91	85	$59.00	$51.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$333.18	$141.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$220.00	$92.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	58	$320.00	$93.38
99213 Established patient office or other outpatient visit, typically 15 minutes	39	35	$220.00	$64.86
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	36	34	$40.36	$19.97
87804 Detection test by immunoassay with direct visual observation for influenza virus	29	15	$37.90	$16.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	22	$60.00	$12.23
81002 Urinalysis, manual test	14	13	$20.00	$3.48
81003 Automated urinalysis test	13	13	$20.00	$2.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	115	13	$5.00	$0.11
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	79	29	$37.92	$0.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$333.18	$141.79
J0696 Injection, ceftriaxone sodium, per 250 mg	68	17	$23.65	$0.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$222.61	$93.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	56	$316.49	$93.55
99213 Established patient office or other outpatient visit, typically 15 minutes	37	36	$214.32	$63.93
94640 Inhalation treatment for airway obstruction or sputum production	35	34	$45.69	$15.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	27	$60.22	$14.36
81003 Automated urinalysis test	25	24	$20.00	$2.44
71046 X-ray of chest, 2 views	15	14	$70.00	$27.17
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$37.85	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	227	26	$4.08	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	171	$316.22	$91.71
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	152	52	$35.66	$0.05
J0696 Injection, ceftriaxone sodium, per 250 mg	126	35	$16.60	$0.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$335.48	$140.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	72	63	$62.14	$17.47
94640 Inhalation treatment for airway obstruction or sputum production	53	53	$45.91	$15.94
99213 Established patient office or other outpatient visit, typically 15 minutes	50	48	$206.56	$62.22
81002 Urinalysis, manual test	43	42	$20.00	$3.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$224.05	$92.15
71046 X-ray of chest, 2 views	32	31	$70.00	$25.93
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	14	$34.50	$16.20
81003 Automated urinalysis test	14	13	$15.00	$2.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0696 Injection, ceftriaxone sodium, per 250 mg	250	63	$3.79	$0.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg	234	42	$2.82	$0.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	129	82	$64.64	$21.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	87	$248.26	$90.41
99213 Established patient office or other outpatient visit, typically 15 minutes	76	71	$185.53	$61.78
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg	53	23	$4.43	$0.07
87804 Detection test by immunoassay with direct visual observation for influenza virus	42	21	$46.14	$16.11
81003 Automated urinalysis test	32	30	$10.00	$3.02
94640 Inhalation treatment for airway obstruction or sputum production	32	30	$42.00	$15.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$244.41	$91.28
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	16	$45.75	$16.11
71020 X-ray of chest, 2 views, front and side	12	12	$76.00	$23.32

Medical Specialties & State Licenses

CMS Verified: 2021-10-27

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 002952

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.

Hospital & Practice Group Affiliations

Wellstar Medical Group Llc

4480 N Cooper Lake Serd, Smyrna, GA 300824623

Wellstar Medical Group Llc

1025 E W Connector, Austell, GA 301068532

Phone: 6782733071

Wellstar Medical Group Llc

4480 N Cooper Lake Rd Se, Smyrna, GA 300824623

Wellstar Medical Group Llc

780 Church St Ne, Marietta, GA 300607269

Wellstar Medical Group Llc

12460 Crabapple Rd, Alpharetta, GA 300046392

Phone: 6787620574

Wellstar Medical Group Llc

5150 Stilesboro N W Rd, Kennesaw, GA 301527742

Phone: 7704248222

Wellstar Medical Group Llc

4477 Towne Lake Pkwy, Woodstock, GA 301896720

Phone: 7702495620

Secondary Practice Locations

913 Eagles Landing Pkwy Ste 150

Stockbridge, GA 302815011

Phone: 7706925910

3576 Highway 138 Se

Stockbridge, GA 302817909

Phone: 7704747448

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Dr. Ishani Patel , MD

Family Medicine

NPI 1245812569

Doctor of Medicine (M.D.)

Stacey Tsitsilianos , FNP-C, ENP-C

Nurse Practitioner - Family

NPI 1437898434

Family Nurse Practitioner (Certified), ENPC

Shuvory Green , FNP-C

Nurse Practitioner - Family

NPI 1487994901

Family Nurse Practitioner (Certified)

Daphene Smith , PA

Physician Assistant

NPI 1497869689

Physician Assistant

Daniella Muller-Boone , MMS, PA-C

Physician Assistant

NPI 1639693419

MMS, Physician Assistant (Certified)

Chelsea Lee , FNP-C

Nurse Practitioner - Family

NPI 1659218170

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

21 Historical Events

📍

Updated Business Mailing Address October 27, 2021

Registered at 3576 HIGHWAY 138 SE, STOCKBRIDGE, GA 302817909 (Tel: 7704747448)

✅

NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location March 17, 2018

Registered at 101 REGENCY PARK DR STE 110, MCDONOUGH, GA 302537076 (Tel: 4049960126)

📍

Updated Business Mailing Address March 17, 2018

Registered at 101 YORKTOWN DR, SUITE 110, FAYETTEVILLE, GA 302141578 (Tel: 6783645400)

👤

Provider Name / Credentials Updated March 17, 2018

Recorded as JOHN LIDELL, M.M.SC. , PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Physician Assistant (License #002952 in GA)

✅

NPI Profile Active October 11, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 11, 2017

Registered at 101 REGENCY PARK DR STE 110, MCDONOUGH, GA 302537076 (Tel: 4049960126)

📍

Updated Business Mailing Address October 11, 2017

Registered at 101 YORKTOWN DR, SUITE 110, FAYETTEVILLE, GA 302141578 (Tel: 6783645400)

👤

Provider Name / Credentials Updated October 11, 2017

Recorded as JOHN LIDELL, M.M.SC. , PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2017

Physician Assistant (License #002952 in GA)

📍

Updated Practice Location April 17, 2017

Registered at 101 YORKTOWN DR, SUITE 110, FAYETTEVILLE, GA 302141578 (Tel: 6783645400)

📍

Updated Business Mailing Address April 17, 2017

Registered at 101 YORKTOWN DR, SUITE 110, FAYETTEVILLE, GA 302141578 (Tel: 6783645400)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2017

Physician Assistant (License #002952 in GA)

📍

Updated Practice Location January 30, 2017

Registered at 4861 BILL GARDNER PKWY, LOCUST GROVE, GA 302483644 (Tel: 7706265740)

✅

NPI Profile Active July 18, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 18, 2014

Registered at 1418 SCOTT BLVD, DECATUR, GA 300301424 (Tel: 7706265760)

📍

Updated Business Mailing Address July 18, 2014

Registered at 5429 LBJ FWY, DALLAS, TX 752402607 (Tel: 7706265760)

👤

Provider Name / Credentials Updated July 18, 2014

Recorded as JOHN LIDELL, M.M.SC. , PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2014

Physician Assistant (License #002952 in GA)

🟢

Initial NPI Registration & Enumeration December 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962487538

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 07, 2005

Last Update: October 27, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3576 Highway 138 Se

Stockbridge, GA 302817909

Phone: 7704747448

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.