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

Mariana C Liquidano, PAC

Individual provider Physician Assistant · NPI 1851080675

Mariana C Liquidano, PAC is a Physician Assistant in Lawrenceville, Georgia. Qualified in 2023, 3 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2023
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Partly verified

Some contact details are missing from the federal record.

Comprehensive Primary Care Llc Ste 200
Lawrenceville, GA 30046
Phone: (678) 888-2273
Fax: (678) 888-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 755 Mount Vernon Hwy Ne Ste 400, Sandy Springs, GA 30328-4279 — (404) 252-4100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11886 (GA)

Record details

NPI number1851080675
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 8, 2023
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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