LISA D LEMLEY GIBSON (PA) – Physician Assistant, NPI 1548338353

Physician Assistant

LISA D LEMLEY GIBSON (PA) is a healthcare provider. based in Portsmouth, Ohio. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. PA1116 (KY). The NPI Number for LISA D LEMLEY GIBSON (PA) is 1548338353

Main info

Female

23 Years Of Experience

Accepts Medicare Assignment

Name

LISA D LEMLEY GIBSON (PA)

NPI

1548338353

Phone

(740) 356-6942

Address

1735 27TH ST STE B06

Enumeration Date

1 December 2006

Last Update Date

22 April 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7403568681

Graduation Year

2003 (23 years ago)

PAC ID

7416035100

Group Practice PAC ID

9436061645

Professional Enrollment ID

I20190114002572

Contacts

Secure Messaging

lisaG@jaxspine.com

Secure Messaging

gibson@somc.medicity.net

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience80

Completeness85

Years active:19State licenses:3Other namesUpdated within 12 months

Provider Addresses for LISA D LEMLEY GIBSON (PA)

27th Street, Portsmouth, Scioto County, Ohio, 45662, United States
PORTSMOUTH, OH 456622681
Phone: (740) 356-6942
Fax: (740) 356-7851
Type: Mailing
10475 CENTURION PKWY N STE 201
JACKSONVILLE, FL 322565004
Phone: (904) 223-3321
Fax: (904) 223-2169
Type: Mailing
1699 S 14TH ST STE 16
FERNANDINA BEACH, FL 320341965
Phone: (904) 223-3321
Fax: (904) 223-2169
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45662)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 9436061645View full group profile

Name	Specialty	State
AUGUSTO C JUGUILON (M.D.)	Psychiatry, Neurology	OH
ANDREW MICHAEL STEGMAN (PA)	Physician Assistant	OH
THOMAS ROBERT SMITH (MD)	-	OH
KEVON M HEKMATDOOST (MD)	N E U R O L O G Y	GA
ALANDRA SHEA HOWARD (CNP)	Nurse Practitioner	OH
MR. BRENNON E GILES (NURSE PRACTIONER)	Nurse Practitioner	OH
ROBERT PORTER (MD)	Diagnostic Radiology	NC
KAREN L. AXELSSON (MD)	P A T H O L O G Y	CA
TIFFANY SUZANNE SHANKLIN (APRN)	-	OH
TABBETHA JEAN CARVER (AGACNP-BC)	-	OH