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

Lisa Thompson Kirk, PA-C

Individual provider Physician Assistant · NPI 1699430637

Lisa Thompson Kirk, PA-C is a Physician Assistant in Southaven, Mississippi. Qualified in 2021, 5 years ago. Practices with Dermatology Clinic of North Mississippi, PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7585 Clarington Cv
Southaven, MS 38671-5656
Phone: (662) 349-0200
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00615 (MS)

Record details

NPI number1699430637
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 4, 2021
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Dermatology Clinic Of North Mississippi, P.L.L.C. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southaven