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MISS DIANA J TAVENER P.A.
NPI 1497900393
Physician Assistant - Surgical in Birmingham, AL

Active since November 20, 2008PECOS EnrolledAccepts Medicare Assignment
805 SAINT VINCENTS DR, SUITE 100, BIRMINGHAM, AL 35205(205) 939-3699(205) 939-0989 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Miss Diana J Tavener P.a. NPPES

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

MISS DIANA J TAVENER P.A. (NPI 1497900393) is an individual surgical provider in Birmingham, Alabama, licensed in Alabama (PA-152) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Grand Strand Regional Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1497900393
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMISS DIANA J TAVENERCredential: P.A.
Location Address805 SAINT VINCENTS DR, SUITE 100Birmingham, AL 35205-1636
Mailing Address4600 Highway 280, Ste 200Birmingham, AL 35242 · (205) 971-5000 · Fax (205) 971-5050
Phone(205) 939-3699
Fax(205) 939-0989
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 20, 2008
Last NPPES UpdateOctober 20, 2015
✔ NPI 1497900393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in AL · PA-152
805 SAINT VINCENTS DR, Birmingham, AL 35205
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Diana J Tavener P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406758473
PECOS Enrollment IDI20241213002387
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420085
Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County
Emergency services Birthing friendly

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.

TROY H STEWART OPA
805 SAINT VINCENTS DR, SUITE 100
BIRMINGHAM, AL 35205
Jefferson County (205) 939-3699
DR. JAMES H CRENSHAW M.D.
Internal Medicine
805 SAINT VINCENTS DR, SUITE 510
BIRMINGHAM, AL 35205
Jefferson County (205) 595-5504
DR. CHARLES CARNEL MD
Physical Medicine & Rehabilitation (Pain Medicine)
805 SAINT VINCENTS DR
BIRMINGHAM, AL 35205
Jefferson County (205) 939-3699
MR. TRENT NESSLER PT
Physical Therapist (Orthopedic)
805 SAINT VINCENTS DR, SUITE G100
BIRMINGHAM, AL 35205
Jefferson County (205) 239-1557
JOANN MICHALIK MAYS M.D.
Pediatrics
805 SAINT VINCENTS DR, SUITE 430
BIRMINGHAM, AL 35205
Jefferson County (205) 939-1250
MS. AMANDA M MCANNALLY ATC
Orthopaedic Surgery (Sports Medicine)
805 SAINT VINCENTS DR, SUITE 100
BIRMINGHAM, AL 35205
Jefferson County (205) 939-3699
EMILY BERNSTEIN TIDWELL CRNP
Nurse Practitioner (Family)
805 SAINT VINCENTS DR, SUITE 510
BIRMINGHAM, AL 35205
Jefferson County (205) 595-5504
MRS. EVE T SANTIAGO P.A.
Physician Assistant
805 SAINT VINCENTS DR, SUITE 100
BIRMINGHAM, AL 35205
Jefferson County (205) 939-3699

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 Diana Tavener's NPI number?

The NPI number for Diana Tavener is 1497900393. It was assigned to this individual provider in the NPPES registry on November 20, 2008.

Where is Diana Tavener located?

Diana Tavener practices at 805 Saint Vincents Dr Suite 100, Birmingham, AL 35205. The listed phone number is (205) 939-3699.

What is Diana Tavener's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Diana Tavener enrolled in Medicare?

Yes. Diana Tavener is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Diana Tavener accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and Providence Health Plan list Diana Tavener 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.

Is Diana Tavener affiliated with any hospitals?

According to CMS data, Diana Tavener is affiliated with Grand Strand Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Diana Tavener was last updated on October 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.