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JEREMY ANDREW WISE MD
NPI 1912565763
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Hattiesburg, MS

Active since June 05, 2019PECOS EnrolledAccepts Medicare Assignment
103 MEDICAL PARK FL 2, HATTIESBURG, MS 39401(601) 268-5630(601) 579-3285 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 11, 2024, Jun 5, 2019 (2 updates tracked since 2019).

About Jeremy Andrew Wise Md NPPES

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

JEREMY ANDREW WISE MD (NPI 1912565763) is an individual adult reconstructive orthopaedic surgery provider in Hattiesburg, Mississippi, licensed in Mississippi (35263) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with South Central Reg Med Ctr, and maintains a secondary practice location in Oakland Park.

NPPES Registry Identity

NPI1912565763
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameJEREMY ANDREW WISECredential: MD
Location Address103 MEDICAL PARK FL 2Hattiesburg, MS 39401-9042
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 264-6000
Phone(601) 268-5630
Fax(601) 579-3285
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2019
Enumeration DateJune 5, 2019
Last NPPES UpdateAugust 18, 20252 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
✔ NPI 1912565763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in MS · 35263
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 166939 (FL), LL82680 (SC)
103 MEDICAL PARK FL 2, Hattiesburg, MS 39401
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Secondary Practice Location 1

Location 15597 N Dixie Highway 2nd FloorOakland Park, FL 33334 · Phone (954) 542-8488 · Fax (954) 351-4705

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeremy Andrew Wise Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325470438
PECOS Enrollment IDI20250827004177
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jeremy Wise reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hattiesburg Clinic PA
Same address
Pediatrics
101 MEDICAL PARK
Hattiesburg, MS 39401
  • Reassigned Medicare billing, Mississippi enrollment
  • 696 clinicians in this Medicare group
NPI 1497837801 (601) 579-3000
Holy Cross Hospital Inc
661 mi
Internal Medicine
4725 N FEDERAL HIGHWAY, HCMG BILLING DEPARTMENT
Ft. Lauderdale, FL 33308
  • Reassigned Medicare billing, Florida enrollment
  • 393 clinicians in this Medicare group
NPI 1467401877 (954) 351-4702

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Central Reg Med Ctr

Acute Care Hospitals · Laurel, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250058
Location1220 Jefferson St Box 607Laurel, MS 39440 · Jones County
Emergency services Birthing friendly

Wayne General Hospital

Acute Care Hospitals · Waynesboro, MS
OwnershipGovernment - Local
CMS Certification Number250077
Location950 Matthew DrWaynesboro, MS 39367 · Wayne County
Emergency services Birthing friendly

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250078
Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 10

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

JEREMY BLAKE WELLS M.D.
Family Medicine (Sports Medicine)
103 MEDICAL PARK FL 2
HATTIESBURG, MS 39401
Forrest County (601) 268-5630
THOMAS PAYNE ROYALS
Orthopaedic Surgery
103 MEDICAL PARK FL 2
HATTIESBURG, MS 39401
Forrest County (601) 268-5630
WILLIAM MADISON ROSS MD
Family Medicine (Sports Medicine)
103 MEDICAL PARK FL 2
HATTIESBURG, MS 39401
Forrest County (601) 268-5630
JAMES MICHAEL WEAVER MD
Orthopaedic Surgery
103 MEDICAL PARK FL 2
HATTIESBURG, MS 39401
Forrest County (601) 268-5630
DR. MARK TIMOTHY BARRON M.D.
Orthopaedic Surgery
103 MEDICAL PARK FL 2
HATTIESBURG, MS 39401
Forrest County (601) 268-5630
MR. BENJAMIN M YELVERTON PA-C
Physician Assistant (Medical)
103 MEDICAL PARK FL 2
HATTIESBURG, MS 39401
Forrest County (601) 268-5630
BILLY R WINDHAM FNP
Nurse Practitioner (Family)
103 MEDICAL PARK FL 2
HATTIESBURG, MS 39401
Forrest County (601) 268-5630
MATTHEW VALENTINE
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
103 MEDICAL PARK FL 2
HATTIESBURG, MS 39401
Forrest County (601) 268-5630

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 Jeremy Wise's NPI number?

The NPI number for Jeremy Wise is 1912565763. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Where is Jeremy Wise located?

Jeremy Wise practices at 103 Medical Park Fl 2, Hattiesburg, MS 39401. The listed phone number is (601) 268-5630.

What is Jeremy Wise's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Jeremy Wise enrolled in Medicare?

Yes. Jeremy Wise is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jeremy Wise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Wise reassigns Medicare benefits to 2 organizations: Hattiesburg Clinic PA (Hattiesburg, MS) and Holy Cross Hospital Inc (Ft. Lauderdale, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Wise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Wise accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Jeremy Wise as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jeremy Wise affiliated with any hospitals?

According to CMS data, Jeremy Wise is affiliated with South Central Reg Med Ctr, Wayne General Hospital and Forrest General Hospital.

When was this NPI record last updated?

The NPPES record for Jeremy Wise was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.