Active NPI
Lisa D Lemley Gibson, PA
- Physician Assistant
- Jacksonville, FL
National Provider Identifier
1548338353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9113789
- Practice address
- 9550 Baymeadows Rd Ste 9
Jacksonville, FL 32256-0748 - Phone
- (904) 730-5115
- Fax
- (904) 828-5552
- NPI assigned
- Dec 1, 2006
- Last updated
- Jun 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9113789 | FL | Primary |
| Physician Assistant | 363A00000X | PA1116 | KY | |
| Physician Assistant | 363A00000X | 50.002146RX | OH |
Addresses
Primary practice location
9550 Baymeadows Rd Ste 9
Jacksonville, FL 32256-0748
Mailing address
9550 Baymeadows Rd Ste 9
Jacksonville, FL 32256-0748
Phone (904) 730-5115
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0146148 | Medicaid | OH | |
| 7100063860 | Medicaid | KY | |
| P00688242 | Other | KY | RR MEDICARE |
| 000000593569 | Other | KY | ANTHEM BCBS |
Other names 1
- Lisa D Lemley
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | frontdesk@firstcoastmd.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9113789 | FL | MD | Physician Assistant |
| PA1116 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrington Partners LLC | Past | Accepting new patients | |
| Georgia Spine & Pain Centers | Past | Accepting new patients | |
| Bellefonte Physician Services, Inc. | Physician Assistant | Past | Accepting new patients |
| Jacksonville Spine Center PA | Past | Accepting new patients | |
| Harry Bell MD PSC | Past | Accepting new patients |
Interoperability endpoints
- gibsonl@somc.gwaydirect.com
- lisag@jaxspine.com
Organizations & group practices 5
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.
-
dba Jax Spine & Pain Centers
- Pain Medicine (Anesthesiology) Physician
- Jacksonville, FL
- NPI 1881643757
-
dba Advanced Pain Physicians
- Physical Medicine & Rehabilitation Physician
- Ashland, KY
- NPI 1710130406
Physician Assistant
-
- Interventional Pain Medicine Physician
- Waycross, GA
- NPI 1134769714
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Ashland, KY
- NPI 1912108028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1548338353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9550 BAYMEADOWS RD STE 9",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560748",
"telephone_number": "904-730-5115",
"fax_number": "904-828-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9550 BAYMEADOWS RD STE 9",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560748",
"telephone_number": "904-730-5115",
"fax_number": "904-828-5552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMLEY GIBSON",
"first_name": "LISA",
"middle_name": "D",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9113789",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA1116",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.002146RX",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0146148",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100063860",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00688242",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000593569",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "frontdesk@firstcoastmd.com",
"affiliation": "N",
"address_1": "9550 Baymeadows Rd Ste 9",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322560748",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LISA",
"last_name": "LEMLEY",
"middle_name": "D",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.