DR. DEENA RENAE WISE D.O.
NPI 1982683488
Pediatrics in Lagrange, GA
About Dr. Deena Renae Wise D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DEENA RENAE WISE D.O. (NPI 1982683488) is an individual pediatrics provider in Lagrange, Georgia, licensed in Georgia (86763) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (1999).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 4
Other Identifiers 1
Accepted Insurance
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. Deena Renae Wise D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LAGRANGE, GA 30240
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 Deena Wise's NPI number?
The NPI number for Deena Wise is 1982683488. It was assigned to this individual provider in the NPPES registry on January 12, 2006. The provider is also known as Deena Renae Walden.
Where is Deena Wise located?
Deena Wise practices at 1514 Vernon Rd, Lagrange, GA 30240. The listed phone number is (770) 845-3132.
What is Deena Wise's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Deena Wise enrolled in Medicare?
Yes. Deena Wise is registered in the Medicare PECOS enrollment system.
What insurance does Deena Wise accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan and Ambetter from Home State Health and 8 other insurers list Deena 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.
When was this NPI record last updated?
The NPPES record for Deena Wise was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Dr. Deena Renae Wise, D.O. · NPI 1982683488
Pediatrics physician in Lagrange, Georgia. Individual provider, active in the CMS NPPES registry since January 12, 2006.
## Identity
- **NPI:** 1982683488 (Entity type: Individual)
- **Enumerated:** January 12, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 86763 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1514 VERNON RD, Lagrange, GA 30240-4131
- **Phone:** (770) 845-3132
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Oklahoma State University College Of Osteopathic Medicine, class of 1999
## Record status
- **NPPES last updated:** April 17, 2025
- **Other identifiers:** Medicaid 100877500 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1982683488) · Data from the CMS NPPES public registry.