Active NPI
Lisa Davis, PA
- Medical Physician Assistant
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9118515
- Practice address
- 708 Druid Rd E
Clearwater, FL 33756-3914 - Phone
- (727) 446-1097
- Fax
- (833) 941-2542
- NPI assigned
- Feb 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 01100027863 | VA | |
| Medical Physician Assistant | 363AM0700X | PA9118515 | FL | Primary |
Addresses
Primary practice location
708 Druid Rd E
Clearwater, FL 33756-3914
Mailing address
708 Druid Rd E
Clearwater, FL 33756-3914
Phone (727) 446-1097
Other practice location 1
2445 Tampa Rd Ste C
Palm Harbor, FL 34683-5849
Phone (727) 787-2092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Boulders Pkwy
North Chesterfield, VA 23225-5515
2354 Colony Crossing PL
Midlothian, VA 23112-4280
Phone (804) 639-9910
708 Druid Rd E
Clearwater, FL 33756-3914
Phone (727) 446-1097
Hospital & facility affiliations
- Morton Plant Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.54 of 100
- Quality
- 71.96
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9118515 | FL | MD | Medical Physician Assistant |
| 01100027863 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dysphagia Management Systems, LLC | Current | Accepting new patients |
Locations
6600 W Broad St
Ste 300
Richmond, VA 23230
Phone (804) 591-3134
Interoperability endpoints
- lisa.davis.1@24994.direct.athenahealth.com
- lisadavis@par.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Allergy & Immunology Physician
- Clearwater, FL
- NPI 1316255128
-
- Hearing and Speech Clinic/Center
- Sarasota, FL
- NPI 1194196592
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1972809416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 DRUID RD E",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563914",
"telephone_number": "727-446-1097",
"fax_number": "833-941-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 DRUID RD E",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563914",
"telephone_number": "727-446-1097",
"fax_number": "833-941-2542"
}
],
"practiceLocations": [
{
"address_1": "2445 Tampa Rd Ste C",
"address_purpose": "LOCATION",
"city": "Palm Harbor",
"state": "FL",
"postal_code": "346835849",
"country_code": "US",
"telephone_number": "727-787-2092",
"fax_number": "833-941-2542",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "LISA",
"name_prefix": "Miss",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-01",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "01100027863",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9118515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.