Deena Renae Wise, D.O.
Pediatrics Physician · Lagrange, GA
Deena Renae Wise, D.O. is a pediatrics physician with a practice address in Lagrange, Georgia, and NPI 1982683488, issued on Jan 12, 2006. Check the license (Georgia 86763, as entered in NPPES) on the Georgia Composite Medical Board; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Deena Renae Wise
- Credential
- D.O.
- Primary taxonomy
- Pediatrics Physician 208000000X
- License numbers
- 86763 GA
OS15511 FL
05305 KY
2002008852 MO
2020-03433 NC
and 1 more
Self-reported in NPPES; status is on the state search - Practice location
- 1514 Vernon RD, Lagrange, GA 30240
- Phone
- (770) 845-3132
- Enumerated
- Jan 12, 2006
- Record last updated
- Apr 17, 2025
- Medicaid ID
- 100877500 FL
- Medicare enrollment
- Enrolled (PECOS I20260513002017); may accept Medicare assignment
- Medical or professional school
- Oklahoma State University College Of Osteopathic Medicine, 1999
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 2,258 in Georgia → Look up another NPI →
Also registered at 1514 Vernon RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Michele Ballister, DNP APRN CRNA CHSECertified Registered Nurse Anesthetist1003054586
Verify Deena Renae Wise in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 86763Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Deena Renae Wise among 2,258 pediatrics physician records in Georgia
Deena Renae Wise, D.O. is one of 2,258 pediatrics physician records with a practice address in Georgia. 47% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 10% of them.
- NPI issued2006 · 10% of these records are older, 53% newer
- In a Medicare fileNo · 47% of these records are
- In the CMS Doctors and Clinicians fileYes · 5% of these records are
- Graduated1999 · median 2011 among the 117 with a school on file
- Record last updated2025 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
14 pediatrics physician records list a practice address in Lagrange
They are 14 of the 743 NPPES records with a practice address in Lagrange, and 2,258 pediatrics physician records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 2,258 in Georgia → Every provider in Lagrange → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Joseph Almand, M.D.Lagrange, GA 302401164534285
- Cory Butzon, MDLagrange, GA 302401659509685
- Nicole Carter, M.D.Lagrange, GA 302401336280114
- Holly Dawson, M.D.Lagrange, GA 302401134416894
- Torey Harden, M.D.Lagrange, GA 302401275827396
- Karyn Hunnicutt, M.D.Lagrange, GA 302401346352390
- George Lechacz, M.D.Lagrange, GA 302401255443297
- Kalyani Rajeev, MDLagrange, GA 302401083613525
Common questions
What is Deena Renae Wise, D.O.'s NPI number?
Deena Renae Wise, D.O.'s National Provider Identifier (NPI) is 1982683488, issued on Jan 12, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Deena Renae Wise, D.O. located?
The NPPES record lists a practice address at 1514 Vernon RD, Lagrange, GA, 30240. Phone: (770) 845-3132. Providers update this record themselves, so call before visiting.
How can I verify Deena Renae Wise, D.O.'s license?
NPPES lists Georgia license number 86763, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.