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

Lisa Mabry Smith, MD

Individual provider Body Imaging Physician · NPI 1912298498

Lisa Mabry Smith, MD is a Diagnostic Radiology in Gulfport, Mississippi. Graduated from University of Tennessee, Hsc, College of Medicine in 2011, 15 years ago. Practices with White-Wilson Medical Center PA, a 47-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Alabama, Florida and Mississippi.

Years since qualifying
15
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
AL, FL, MS
In the registry since
2011
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

14257 Dedeaux Rd
Gulfport, MS 39503-3369
Phone: (228) 314-7226
Fax: (228) 314-7227
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 840 Montclair Rd, Birmingham, AL 35213-1920 — (205) 592-5135
  • 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6707 — (850) 863-8100
  • 150 Reynoir St, Biloxi, MS 39530-4130 — (228) 432-1571

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 24862 (MS)
Body Imaging Physician Taxonomy 2085B0100X · Licence ME164947 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME164947 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 32125 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912298498
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2011
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing addressPo Box 10370, Gulfport, MS 39505-0370

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice White-Wilson Medical Center Pa — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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