Alexis Jane Wildman, MD
NPI 1083302855ActiveIndividual· Emergency Medicine· Southaven, MS
Emergency Medicine (MD) with Southeastern Emergency Physicians LLC, practicing in Southaven, Mississippi. Part D covered 29 prescriptions written in 2024, 90% of them generic. Lists Baptist Memorial Hospital Desoto as a hospital affiliation.
Overview
| NPI | 1083302855 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 28, 2023 |
| Last updated in NPPES | Jun 28, 2026 |
| Certified by provider | Jun 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 37048 | MS |
| Emergency Medicine | 207P00000X | 77086 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (MS); Practitioner - Emergency Medicine (TN) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 29 · 29 30-day fills |
|---|---|
| Patients | 17 |
| Total drug cost | $1,436 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical group
- Southeastern Emergency Physicians LLCNewport, TN · 784 clinicians
Hospital affiliation
- Baptist Memorial Hospital DesotoSouthaven, MS
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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