Deena Renae Wise, D.O.
NPI 1982683488ActiveIndividual· Pediatrics· Lagrange, GA
Pediatrics (D.O.) in Lagrange, Georgia, trained at Oklahoma State University College of Osteopathic Medicine (class of 1999). Enrolled in Medicare as practitioner - pediatric medicine and practitioner - pediatric medicine.
Overview
| NPI | 1982683488 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jan 12, 2006 |
| Last updated in NPPES | Apr 17, 2025 |
| Certified by provider | Apr 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 86763 | GA |
| Pediatrics | 208000000X | 2002008852 | MO |
| Pediatrics | 208000000X | OS15511 | FL |
| Pediatrics | 208000000X | 3820 | OK |
| Pediatrics | 208000000X | 05305 | KY |
| Pediatrics | 208000000X | 2020-03433 | NC |
| Hospitalist | 208M00000X | OS15511 | FL |
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 - Pediatric Medicine (FL); Practitioner - Pediatric Medicine (GA); Practitioner - Pediatric Medicine (KY); Practitioner - Pediatric Medicine (NC); Practitioner - Pediatric Medicine (NM); Practitioner - Pediatric Medicine (SC) |
|---|
Education and affiliations
| Medical school | Oklahoma State University College of Osteopathic Medicine |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | Pediatric Medicine |
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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All 17 pediatricians in Lagrange · All pediatricians in Georgia