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Active NPI 1982683488 Individual Practitioner Female Practitioner

Dr. Deena Renae Wise , DO

Pediatrics • Lagrange, GA

Professional Overview & Biography Verified Profile Summary

Dr. Deena Wise, DO is a certified Pediatrics practicing in Lagrange, GA. With approximately 27 years of clinical experience since graduating from Oklahoma State University College Of Osteopathic Medicine in 1999, Dr. Wise delivers high-quality medical care to the local community at 1514 VERNON RD.

Dr. Wise does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1514 Vernon Rd

Lagrange, GA 302404131

Telephone 7708453132
Associated Practice Facility / Clinic
🏢 West Georgia Health System Facility NPI 1174506943

Medicare Profile & Education

Medical School

Oklahoma State University College Of Osteopathic Medicine

Graduation Year

1999

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lagrange, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs Matches City Avg
City Avg: 27.0 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
14 Specialists

Practicing in Lagrange, GA (2326 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wise (27 Years) 27 Yrs
Lagrange Specialty Average (27.0 Years) 27.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-04-17
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 86763

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License FL OS15511

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OK 3820

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MO 2002008852

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NC 2020-03433

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License FL OS15511

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License KY 05305

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100877500 (FL)

Secondary Practice Locations

2502 W Elk Ave

Duncan, OK 735331562

Phone: 5802529600

4200 Sun N Lake Blvd

Sebring, FL 338721986

Phone: 4079750412

850 S Main St

Holly Springs, NC 275408906

Phone: 9849601800

250 Park St

Bowling Green, KY 421011760

Phone: 2707966540

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Michele Ballister , DNP APRN CRNA CHSE

Nurse Anesthetist, Certified Registered

NPI 1003054586

DNPAPRNCRNACHSE

Dr. Steven Yi , DO

Radiology - Diagnostic Radiology

NPI 1013446798

Doctor of Osteopathic Medicine (D.O.)

Patricia Anderson , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033298211

Certified Registered Nurse Anesthetist

Joni Winter , FNP

Nurse Practitioner

NPI 1053635961

Family Nurse Practitioner

Dr. Catlyn Thigpen , DO

Internal Medicine

NPI 1083243307

Doctor of Osteopathic Medicine (D.O.)

Claudia Weekes , MS, RD, LD

Dietitian, Registered

NPI 1083928998

Master of Science, Registered Dietitian, Licensed Dietitian

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location April 17, 2025

Registered at 1514 VERNON RD, LAGRANGE, GA 302404131 (Tel: 7708453132)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2025

Pediatrics (License #2002008852 in MO)

📍
Updated Practice Location January 28, 2025

Registered at 250 PARK ST, BOWLING GREEN, KY 421011760 (Tel: 2707966540)

📍
Updated Business Mailing Address January 28, 2025

Registered at 1738 WREN WAY, NICEVILLE, FL 325787102

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2020

Pediatrics (License #OS15511 in FL)

NPI Profile Active October 26, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2009

Registered at 2502 W ELK AVE, DUNCAN, OK 735331562 (Tel: 5802529600)

📍
Updated Business Mailing Address October 26, 2009

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074

👤
Provider Name / Credentials Updated October 26, 2009

Recorded as DEENA WISE, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2009

Pediatrics (License #3820 in OK)

🟢
Initial NPI Registration & Enumeration January 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982683488
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2006
Last Update: April 17, 2025
Sole Proprietor: No

Mailing Address

1738 Wren Way

Niceville, FL 325787102

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.