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

Lianna Marie Carroll, PA

Individual provider Physician Assistant · NPI 1659873776

Lianna Marie Carroll, PA is a Physician Assistant in West Seneca, New York. Qualified in 2018, 8 years ago. Practices with Southgate Medical Group LLP, a 32-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1026 Union Rd
West Seneca, NY 14224
Phone: (716) 712-0851
Fax: (716) 712-0853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 022202 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1659873776
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 5, 2018
Last updated in NPPESJanuary 16, 2020
Certification dateJanuary 16, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southgate Medical Group Llp — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Seneca