Individual provider Active NPI

Lisa Davis, PA

  • Medical Physician Assistant
  • Clearwater, FL
National Provider Identifier
1972809416
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9118515 Issued in FL
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

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140327001916 VA Practitioner - Physician Assistant 0042112609 Reassigns benefits to 1 organization
I20240722000004 FL Practitioner - Physician Assistant 0042112609 Reassigns benefits to 2 organizations

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
Pulmonary Associates of Richmond IncGroup PAC ID 8123095577, 49 clinicians
Clearwater Family Medicine and Allergy, PAGroup PAC ID 6800912114, 4 clinicians

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 Hospital, Clearwater, FL, CCN 100127

Merit-based Incentive Payment System (MIPS)

Final score
84.54 of 100Reported as group
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

LicenseStateTypeSpecialty
PA9118515FLMDMedical Physician Assistant
01100027863VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dysphagia Management Systems, LLC CurrentSince Jan 19, 2023 Accepting new patients

Locations

6600 W Broad St
Ste 300
Richmond, VA 23230
Phone (804) 591-3134

Interoperability endpoints

  • Direct secure messaging: lisa.davis.1@24994.direct.athenahealth.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.