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

Miss. Diana J Tavener, PA

Individual provider Surgical Physician Assistant · NPI 1497900393

Miss. Diana J Tavener, PA is a Physician Assistant in Birmingham, Alabama. Qualified in 1991, 35 years ago. Practices with Grand Strand Specialty Associates, LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
35
Licensed in
AL
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

805 Saint Vincents Dr Ste 100
Birmingham, AL 35205-1636
Phone: (205) 939-3699
Fax: (205) 939-0989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA-152 (AL)

Record details

NPI number1497900393
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 20, 2008
Last updated in NPPESOctober 20, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Grand Strand Specialty Associates, Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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