LISA M. SMITH MD – NPI #1912298498
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

LISA SMITH is a radiologist located in GULFPORT, MS. NPPES has assigned the NPI number 1912298498 to LISA SMITH on May 02, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on Sep 09, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LISA SMITH below.

NPI Profile for
LISA M. SMITH

NPI Number
1912298498
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LISA M. SMITH
Credentials
MD
Primary location
14257 DEDEAUX RD
GULFPORT, MS 39503-3369
Phone: (228) 314-7226 Fax: (228) 314-7227
3 Other location(s):
840 Montclair Rd
Suite 317
Birmingham, AL 35213-1920
Phone: (205) 592-5135
1005 Mar Walt Dr
Fort Walton Beach, FL 32547-6707
Phone: (850) 863-8100
150 Reynoir St
Biloxi, MS 39530-4130
Phone: (228) 432-1571
Mailing address
PO BOX 10370
GULFPORT, MS 39505-0370
Phone: (228) 314-7226 Fax: (228) 314-7227
Sole Proprietor
No
Updated
Certification Date
Sep 09, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LISA SMITH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBS MSMS598607
otherMEDICAREMS568617YSJ9
otherRAILROAD MEDICAREMSP01842090
medicaidMS00536826
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 FL ME164947
390200000X
- Student in an Organized Health Care Education/Training Program
2085B0100X
- Radiology / Body Imaging		 FL ME164947

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE - Graduated 2011
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LISA SMITH is affiliated with the following medical group(s):
  • HOSPITAL
    • MEMORIAL HOSPITAL AT GULFPORT
      4500 13TH STREET
      GULFPORT, MS 39502
    • MERIT HEALTH BILOXI
      150 REYNOIR STREET
      BILOXI, MS 39530
    • USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL
      1700 CENTER STREET
      MOBILE, AL 36604
    • USA HEALTH UNIVERSITY HOSPITAL
      2451 FILLINGIM STREET
      MOBILE, AL 36617

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