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

Lisa Marie Tolliver, PA-C

Individual provider Medical Physician Assistant · NPI 1043598485

Lisa Marie Tolliver, PA-C is a Physician Assistant in Proctorville, Ohio. Qualified in 2011, 15 years ago. Practices with Kings Daughters Medical Specialties Inc, a 387-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky, Ohio and West Virginia.

Years since qualifying
15
Licensed in
KY, OH, WV
In the registry since
2011
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

6276 County Road 107
Proctorville, OH 45669-8867
Phone: (888) 221-1826
Show map & directions

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

Additional practice locations (2)

  • 500 Burlington Rd, Jackson, OH 45640 — (740) 395-8316
  • 8991 Ohio River Rd, Wheelersburg, OH 45694-1923 — (888) 221-1826

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA1634 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2555 (WV)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 50.003489 (OH)

Record details

NPI number1043598485
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 3, 2011
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Kings Daughters Medical Specialties Inc — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare