NPPES file of Aug 9, 2026

Lisa Deptula, PA, MD

Student in an Organized Health Care Education/Training Program · Southaven, MS

Lisa Deptula, PA, MD is a student in an organized health care education/training program with a practice address in Southaven, Mississippi, and NPI 1184052508, issued on Oct 22, 2013. Check the license with the Mississippi board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1184052508
Name
Lisa Deptula
Credential
PA, MD
Primary taxonomy
Student in an Organized Health Care Education/Training Program 390200000X
License numbers
PA54017 CA
5601006710 MI
Self-reported in NPPES; status is on the state search
Practice location
7601 Southcrest Pkwy, Southaven, MS 38671
Phone
(662) 772-3607
Enumerated
Oct 22, 2013
Record last updated
Apr 22, 2025
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 7601 Southcrest Pkwy

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Francis Agama, MDInternal Medicine Physician1710676952
  2. Ola AliStudent in an Organized Health Care Education/Training Program1992592067
  3. Sumaiya Amin, MDInternal Medicine Physician1821265356
  4. Chaitanya Are, MDHospitalist Physician1912173766
  5. Vicenda AugustinStudent in an Organized Health Care Education/Training Program1811684335
  6. Thomas BallardStudent in an Organized Health Care Education/Training Program1245975226

Verify Lisa Deptula in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Mississippi board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Mississippi license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Lisa Deptula among 1,586 student in an organized health care education/training program records in Mississippi

Lisa Deptula, PA, MD is one of 1,586 student in an organized health care education/training program records with a practice address in Mississippi. 26% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2013, is newer than under 1% of them.

  • NPI issued2013 · under 1% of these records are older, over 99% newer
  • In a Medicare fileNo · 26% of these records are
  • In the CMS Doctors and Clinicians fileNo · 3% of these records are
  • Record last updated2025 · 9% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 390200000X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

84 student in an organized health care education/training program records list a practice address in Southaven

They are 84 of the 1,123 NPPES records with a practice address in Southaven, and 1,586 student in an organized health care education/training program records in Mississippi. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 student in an organized health care education/training program records with the nearest ZIP codes

  1. Thomas BallardSouthaven, MS 386711245975226
  2. Jazmine CampbellSouthaven, MS 386711073108817
  3. Nadir EbrahimSouthaven, MS 386711427745363
  4. Nicole Fontenot, DOSouthaven, MS 386711376288233
  5. Wayne Gould, DOSouthaven, MS 386711861189623
  6. Gene Lamanilao, MDSouthaven, MS 386711659068526
  7. Daniel Larez Solano, MDSouthaven, MS 386711659015063
  8. Lianette Lozada Bado, MDSouthaven, MS 386711801398110

Common questions

What is Lisa Deptula, PA, MD's NPI number?

Lisa Deptula, PA, MD's National Provider Identifier (NPI) is 1184052508, issued on Oct 22, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Lisa Deptula, PA, MD located?

The NPPES record lists a practice address at 7601 Southcrest Pkwy, Southaven, MS, 38671. Phone: (662) 772-3607. Providers update this record themselves, so call before visiting.

How can I verify Lisa Deptula, PA, MD's license?

Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.