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WILLIE LITHGOW NP
NPI 1912761180
Nurse Practitioner - Psychiatric/Mental Health in Villa Rica, GA

Active since February 08, 2024PECOS Enrolled
20 HERRELL RD, VILLA RICA, GA 30180(770) 812-3928 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2025, Aug 19, 2024, Feb 8, 2024 (3 updates tracked since 2024).

About Willie Lithgow Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIE LITHGOW NP (NPI 1912761180) is an individual psychiatric/mental health provider in Villa Rica, Georgia, licensed in Georgia (APRN-NP205649) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1912761180
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameWILLIE LITHGOWCredential: NP
Location Address20 HERRELL RDVilla Rica, GA 30180-5527
Mailing Address20 Herrell RdVilla Rica, GA 30180-5527 · (770) 812-3928
Phone(770) 812-3928
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 8, 2024
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1912761180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · APRN-NP205649
Also ListedRegistered NurseTaxonomy 163W00000X · License RN205649 (GA)
20 HERRELL RD, Villa Rica, GA 30180
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willie Lithgow Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921533670
PECOS Enrollment IDI20241119001257
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Willie Lithgow reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tmc-Behavioral Health Of West Georgia
1.5 mi
Geriatric Psychiatry
101 QUARTZ DR STE 103B
Villa Rica, GA 30180
  • Reassigned Medicare billing, Georgia enrollment
  • 73 clinicians in this Medicare group
NPI 1356795462 (770) 812-3530
Hamilton Medical Center, Inc.
72 mi
General Acute Care Hospital
1200 MEMORIAL DR
Dalton, GA 30720
  • Reassigned Medicare billing, Georgia enrollment
  • 236 clinicians in this Medicare group
NPI 1528056066 (706) 272-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLYSON MOFFATT LPC
Counselor (Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3530
ANSON CHIN
Nurse Practitioner (Psychiatric/Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3283
UBI OKIM
Nurse Practitioner (Psychiatric/Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3530
THOMAS STUCKEY CRNP
Nurse Practitioner (Psychiatric/Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3294
NOVA MEDICAL SERVICES, LLC
Family Medicine
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 726-7460
JOHN BRIAN GIBSON MA, LPC, CPCS
Counselor (Professional)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 456-3034
MS. STEPHANIE CHRISTINE SKY DNP-PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3530
DR. YESHA MUKESH THAKKAR D.O
Student in an Organized Health Care Education/Training Program
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (630) 873-9445

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willie Lithgow's NPI number?

The NPI number for Willie Lithgow is 1912761180. It was assigned to this individual provider in the NPPES registry on February 8, 2024.

Where is Willie Lithgow located?

Willie Lithgow practices at 20 Herrell Rd, Villa Rica, GA 30180. The listed phone number is (770) 812-3928.

What is Willie Lithgow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Willie Lithgow enrolled in Medicare?

Yes. Willie Lithgow is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Willie Lithgow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Willie Lithgow reassigns Medicare benefits to 2 organizations: Tmc-Behavioral Health Of West Georgia (Villa Rica, GA) and Hamilton Medical Center, Inc. (Dalton, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Willie Lithgow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Willie Lithgow accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Willie Lithgow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willie Lithgow was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.