Physician Profile

Lisa Deptula, PA, MD

Unclaimed Profile

About Dr. Deptula

Lisa Deptula, PA, MD is a healthcare provider in Southaven, MS specializing in student in an organized health care education program. Lisa is also listed as specializing in physician assistant.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Specialty

Student in an Organized Health Care Education Program (Primary)
Physician Assistant (Additional)
Student in an Organized Health Care Education Program (Additional)

Credentials & Licensing

CA licensePA54017
MI license5601006710
NPI1184052508
NPI issued10/22/2013

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Medicare opt-outYes, since January 2019
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Dr. Deptula specialize in?

Dr. Deptula is a medical trainee in Southaven, MS. That is the designation recorded for this NPI in the federal registry, where it is listed as “Student in an Organized Health Care Education Program”.

NPI registry

Where is Dr. Deptula located?

Dr. Deptula is listed at 7601 Southcrest Pkwy, Southaven, MS 38671. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Dr. Deptula's phone number?

The number on file is (662) 772-3607. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Dr. Deptula's NPI number?

Dr. Deptula's National Provider Identifier is 1184052508. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Dr. Deptula been practicing?

Dr. Deptula has 13+ years experience. Registered with an NPI since 2013. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Dr. Deptula confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Deptula. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.