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Dr. Deena Renae Wise , DO

Pediatrics β€’ Lagrange, GA

Active NPI 1982683488 Individual Practitioner Female Practitioner
Practice location in NPPES

1514 Vernon Rd
Lagrange, GA 302404131

Call 7708453132 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1514 Vernon Rd

Lagrange, GA 302404131

Telephone 7708453132
Organization at the Same NPPES Address or Phone
West Georgia Health System Facility NPI 1174506943

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 4 distinct additional practice-address records in Bowling Green, KY; Duncan, OK; Holly Springs, NC and 1 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Oklahoma State University College Of Osteopathic Medicine

Graduation Year

1999

Open Payments general payments, program year 2019

All general payments: $142.59 across 9 records.

By nature of payment

  • Food and Beverage: $142.59 across 9 records.

Reporting-company totals (3 largest of 7)

  • Tris Pharma Inc: $35.72 across 2 records.
  • Sanofi Pasteur Inc.: $30.17 across 2 records.
  • Pfizer Inc.: $17.72 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2019 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

27 years (graduated 1999)

CMS Doctors and Clinicians data list 1999 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Wise has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Wise as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lagrange and Georgia

14 active clinicians are listed under Pediatrics with a practice address in Lagrange, GA (2,258 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lagrange

0% of these 14 clinicians have the CMS telehealth indicator.

0% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2019

Program year 2019 (payments made January 1 – December 31, 2019): fewer than 11 records totaling $142.59.

Manufacturer Payment Nature Product Type Amount ($)
Tris Pharma Inc
Food and Beverage
In-kind items and services
Quillivant XR General $19.49
Pfizer Inc.
Food and Beverage
In-kind items and services
PREVNAR - 13 General $17.72
Sanofi Pasteur Inc.
Food and Beverage
In-kind items and services
QUADRACEL General $17.71
Genentech, Inc.
Food and Beverage
In-kind items and services
Xofluza General $17.61
Tris Pharma Inc
Food and Beverage
In-kind items and services
Quillivant XR General $16.23
Merck Sharp & Dohme Corporation
Food and Beverage
In-kind items and services
JANUVIA General $15.33
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
SYMBICORT General $14.07
Sanofi Pasteur Inc.
Food and Beverage
In-kind items and services
MENACTRA General $12.46
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
ENTRESTO General $11.97

Source: CMS Open Payments, program year 2019, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-17
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES 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

License # reported to NPPES 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

License # reported to NPPES 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

License # reported to NPPES 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

License # reported to NPPES 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.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES 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

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
100877500 (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20260513002017

Enrollment State Jurisdiction

NM

PECOS Control ID

7517031115

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1922308378

Doctor of Medicine (M.D.)

Jared Angstadt , CRNA

Nurse Anesthetist, Certified Registered

NPI 1700400272

Certified Registered Nurse Anesthetist

Dr. Nisha Aravindakshan Patel , MD, MPH

Internal Medicine - Infectious Disease

NPI 1942527478

Doctor of Medicine (M.D.), Master of Public Health

Dr. David Barnes , MD

Emergency Medicine

NPI 1831125525

Doctor of Medicine (M.D.)

Brandon Bisso , NP

Nurse Practitioner

NPI 1306401260

Nurse Practitioner

NPI 1164953121

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location April 17, 2025

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

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

Pediatrics (license number reported to NPPES: MO 2002008852)

πŸ“
Updated Practice Location January 28, 2025

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

πŸ“
Updated Business Mailing Address January 28, 2025

Registered at 1738 WREN WAY, NICEVILLE, FL 325787102

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

Pediatrics (license number reported to NPPES: FL OS15511)

βœ…
NPI Profile Active October 26, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 26, 2009

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

πŸ“
Business Mailing Address (Initial Record) October 26, 2009

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074

πŸ‘€
Provider Name / Credentials (Initial Record) October 26, 2009

Recorded as DEENA WISE, D.O.

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

Pediatrics (license number reported to NPPES: OK 3820)

🟒
Initial NPI Registration & Enumeration January 12, 2006

First registered as active Individual Practitioner in NPPES Database.

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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

Other Pediatrics Specialists in Lagrange

Healthcare providers in Lagrange

Mailing Address

1738 Wren Way

Niceville, FL 325787102

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.