Individual provider Active NPI

Mariana C Liquidano, PAC

  • Physician Assistant
  • Lawrenceville, GA
National Provider Identifier
1851080675
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11886 Issued in GA
Practice address
Comprehensive Primary Care, LLC
Suite 200
Lawrenceville, GA 30046
Phone
(678) 888-2273
Fax
(678) 888-2273
NPI assigned
May 8, 2023
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11886 GA Primary

Addresses

Primary practice location

Comprehensive Primary Care, LLC
Suite 200
Lawrenceville, GA 30046

Mailing address

Comprehensive Primary Care, LLC 3905 Johns Creek Court
Suite 200
Suwanee, GA 30024-2937
Phone (678) 888-2273

Other practice location 1

755 Mount Vernon Hwy NE Ste 400
Sandy Springs, GA 30328-4279
Phone (404) 252-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231115003856 GA Practitioner - Physician Assistant 0244687002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

755 Mount Vernon Hwy NE 400
Sandy Springs, GA 30328-4279
Phone (404) 252-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services, LLC CurrentSince Nov 10, 2025 Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince Nov 10, 2025 Accepting new patients

Locations

755 Mount Vernon Hwy NE
Ste 400
Sandy Springs, GA 30328
Phone (404) 252-4100

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1851080675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMPREHENSIVE PRIMARY CARE, LLC 3905 JOHNS CREEK COURT",
            "address_2": "SUITE 200",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242937",
            "telephone_number": "678-888-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMPREHENSIVE PRIMARY CARE, LLC",
            "address_2": "SUITE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "678-888-2273",
            "fax_number": "678-888-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 Mount Vernon Hwy NE Ste 400",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303284279",
            "country_code": "US",
            "telephone_number": "404-252-4100",
            "fax_number": "404-252-6740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIQUIDANO",
        "first_name": "MARIANA",
        "middle_name": "C",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.