LISA MABRY SMITH MD NPI 1912298498

NPI Information

  • NPI: 1912298498
  • Provider Name: LISA MABRY SMITH, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14257 DEDEAUX RD
    GULFPORT, MS
    ZIP 39503
  • Phone: (228) 314-7226

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NPI Details

Lisa Mabry Smith, MD is a diagnostic radiology radiology in Gulfport, MS with 15 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Lisa Mabry Smith, MD NPI is 1912298498. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:2011

The provider's business location address is:

14257 DEDEAUX RD
GULFPORT, MS
ZIP 39503-369
Phone: (228) 314-7226
Fax: (228) 314-7227

The NPI 1912298498 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Calculation of trabecular bone score (tbs) using imaging data with interpretation and report on fracture risk (HCPCS:77089)
  • Screening mammography (HCPCS:77067)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Screening 3d breast mammography (HCPCS:77063)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Ct scan of chest without contrast (HCPCS:71250)

The enumeration date for this NPI number is 5/2/2011 and was last updated on 9/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085B0100XRadiologyBody ImagingME164947FLORIDANo
22085R0202XRadiologyDiagnostic RadiologyME164947FLORIDANo
32085R0202XRadiologyDiagnostic Radiology32125ALABAMANo
4390200000XStudent in an Organized Health Care Education/Training ProgramNo
52085R0202XRadiologyDiagnostic Radiology24862MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100536826MEDICAIDMISSISSIPPI
2568617YSJ9OTHERMISSISSIPPIMEDICARE
3598607OTHERMISSISSIPPIBCBS MS
4P01842090OTHERMISSISSIPPIRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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