DR. LISA MICHELLE DAVIS PHD, PA-C
NPI 1629887518
Physician Assistant - Medical in Ellicott City, MD
About Dr. Lisa Michelle Davis Phd, Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LISA MICHELLE DAVIS PHD, PA-C (NPI 1629887518) is an individual medical provider in Ellicott City, Maryland, licensed in Maryland (C0002863) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Lisa Michelle Davis Phd, Pa-c 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.
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 Lisa Davis's NPI number?
The NPI number for Lisa Davis is 1629887518. It was assigned to this individual provider in the NPPES registry on January 6, 2025.
Where is Lisa Davis located?
Lisa Davis practices at 3950 White Rose Way, Ellicott City, MD 21042. The listed phone number is (443) 865-5342.
What is Lisa Davis's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Lisa Davis enrolled in Medicare?
Yes. Lisa Davis 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.
When was this NPI record last updated?
The NPPES record for Lisa Davis was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Dr. Lisa Michelle Davis, PHD, PA-C · NPI 1629887518
Medical physician in Ellicott City, Maryland. Individual provider, active in the CMS NPPES registry since January 6, 2025.
## Identity
- **NPI:** 1629887518 (Entity type: Individual)
- **Enumerated:** January 6, 2025
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** C0002863 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3950 WHITE ROSE WAY, Ellicott City, MD 21042-5822
- **Phone:** (443) 865-5342
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** January 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629887518) · Data from the CMS NPPES public registry.