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

MS. Lisa Dianne Dove

Individual provider Surgical Physician Assistant · NPI 1720155476

MS. Lisa Dianne Dove is a Physician Assistant in Birmingham, Alabama. Qualified in 2006, 20 years ago. Practices with Oak Mountain Group Services, LLC, a 62-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
20
Licensed in
AL
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

619 19th St S P 915
Birmingham, AL 35233-1900
Phone: (205) 975-0512
Fax: (205) 975-6404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 491 (AL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA491 (AL)

Record details

NPI number1720155476
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESMay 1, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Oak Mountain Group Services, Llc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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