Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bethany Wiley Lill

Individual provider Physician Assistant · NPI 1316298953

Bethany Wiley Lill is a Physician Assistant in Canton, Georgia. Qualified in 2012, 14 years ago. Practices with Pinnacle Orthopaedics and Sports Medicine Specialists LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
14
Licensed in
GA
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

720 Transit Ave Ste 202
Canton, GA 30114-2540
Phone: (770) 427-5717
Fax: (770) 514-6744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 006629 (GA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1316298953
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2012
Last updated in NPPESAugust 27, 2014
Mailing address300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Pinnacle Orthopaedics And Sports Medicine Specialists Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Canton