Lillie Catherine Brannen, PA-C
Physician Assistant in Savannah, GA. Individual provider (NPI-1).
NPI number1801547195
StatusActive
Last updated in NPPESOct 8, 2025
Details
- NPI
- 1801547195
- Entity type
- Individual (NPI-1)
- Name
- Lillie Catherine Brannen
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 18, 2022
- Certification date
- Oct 8, 2025
- Last updated
- Oct 8, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 10985 | GA | Yes |
Practice location
130 Tibet Ave Apt 105Savannah, GA 31406-9029
Phone 912-376-0761
Mailing address
130 Tibet Ave Apt 105Savannah, GA 31406-9029
Phone 912-376-0761
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 252 Physician Assistant providers in Savannah · All 7,528 providers in Savannah
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