Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lisa Jane Gillis, MD

Individual provider Clinical Genetics (M.D.) Physician · NPI 1639680614

Dr. Lisa Jane Gillis, MD is a Geriatric Medicine in St Petersburg, Florida. Graduated from Dalhousie University, Faculty of Medicine in 2003, 23 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Trained at
Dalhousie University, Faculty of Medicine
Licensed in
CA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

601 5th St S
St Petersburg, FL 33701-4804
Phone: (727) 767-8491
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9300 Valley Childrens Pl Ste 117, Madera, CA 93636-8761 — (559) 353-6400

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X · Licence C152190 (CA)

Record details

NPI number1639680614
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 18, 2017
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing address601 5th St S, St Petersburg, FL 33701-4804

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGERIATRIC MEDICINE
Medical schoolDALHOUSIE UNIVERSITY, FACULTY OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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