MS. LISA DIANNE DOVE
NPI 1720155476
Physician Assistant - Medical in Birmingham, AL

Q: What is Lisa Dove's NPI number?

The NPI number for Lisa Dove is 1720155476. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Lisa Dove's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Dove was last updated on May 1, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment

619 19TH ST S, P 915, BIRMINGHAM, AL 35233(205) 975-0512(205) 975-6404 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Ms. Lisa Dianne Dove NPPES

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

MS. LISA DIANNE DOVE (NPI 1720155476) is an individual medical provider in Birmingham, Alabama, licensed in Alabama (491) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1720155476

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. LISA DIANNE DOVE

Location Address619 19TH ST S, P 915Birmingham, AL 35233-1900

Mailing Address619 19th St S, P 915Birmingham, AL 35233-1900 · (205) 975-0512 · Fax (205) 975-6404

Phone(205) 975-0512

Fax(205) 975-6404

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateNovember 29, 2006

Last NPPES UpdateMay 1, 2013

✔ NPI 1720155476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in AL · 491

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA491 (AL)

619 19TH ST S, Birmingham, AL 35233

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINQ76113AL

MedicaidPAYEE #529916450AL

Medicaid009943016AL

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

Ms. Lisa Dianne Dove 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 ID5799888384

PECOS Enrollment IDI20070320000481

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.

Leave this field empty

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.

SASHA KAISER MD

Emergency Medicine (Medical Toxicology)