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DR. ALEXIS JANE WILDMAN MD
NPI 1083302855
Emergency Medicine in Southaven, MS

Active since April 28, 2023PECOS Enrolled
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671(662) 772-4000 Get Directions Write a Review

NPPES record last updated: June 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alexis Jane Wildman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALEXIS JANE WILDMAN MD (NPI 1083302855) is an individual emergency medicine provider in Southaven, Mississippi, licensed in Mississippi (37048) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083302855
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. ALEXIS JANE WILDMANCredential: MD
Location Address7601 SOUTHCREST PKWYSouthaven, MS 38671-4742
Mailing Address7601 Southcrest PkwySouthaven, MS 38671-4742 · (662) 772-4000
Phone(662) 772-4000
Sole ProprietorNo
Enumeration DateApril 28, 2023
Last NPPES UpdateJune 28, 2026
NPPES CertifiedJune 28, 2026
✔ NPI 1083302855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MS · 37048✔ Licensed in TN · 77086
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
7601 SOUTHCREST PKWY, Southaven, MS 38671
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alexis Jane Wildman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38671 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MID-SOUTH ANESTHESIA CONSULTANTS, PLLC
Specialist
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Desoto County (334) 386-2053
SAIF M TAHSIN MD
Family Medicine
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Desoto County (662) 772-2980
SHAN SHAH MD
Internal Medicine
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Desoto County (662) 772-2980
KAYLA LAVELLE SWEETEN MD
Student in an Organized Health Care Education/Training Program
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Desoto County (662) 772-4696
DYLAN COLLINS GOOLSBY FNP
Nurse Practitioner (Family)
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Desoto County (662) 772-4000
BAPTIST MEMORIAL HOSPITAL DESOTO
Specialist/Technologist (Athletic Trainer)
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Desoto County (662) 349-4000
JONATHAN ANDREW MARTINEZ MD
Student in an Organized Health Care Education/Training Program
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Desoto County (662) 772-3607
PRITI PRAKASH EZHUVATHRA MD
Student in an Organized Health Care Education/Training Program
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Desoto County (662) 772-3607

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Wildman's NPI number?

The NPI number for Alexis Wildman is 1083302855. It was assigned to this individual provider in the NPPES registry on April 28, 2023.

Where is Alexis Wildman located?

Alexis Wildman practices at 7601 Southcrest Pkwy, Southaven, MS 38671. The listed phone number is (662) 772-4000.

What is Alexis Wildman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Alexis Wildman enrolled in Medicare?

Yes. Alexis Wildman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexis Wildman was last updated on June 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.