NPI age
20 years
Enumerated 2006-01-12
● Active
Type 1 · Individual
DR. Deena Renae Wise, D.O.
Wise is 1 of 17 pediatrics providers in Lagrange and 1 of 2726 in Georgia.
Primary specialty
Pediatrics
Plus 6 subspecialties
Licensed in
GA, MO, FL, OK, KY, NC
6 states
Status
Active
No deactivations on record
Last NPPES update
2025-04-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2726 active pediatrics providers in Georgia.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
6 states
Top 89% — 10% of peers are multi-state
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-01Enumerated in NPPES
2006
2026
Where they practice
Practice location
1514 Vernon Rd
Lagrange, GA 302404131
Mailing address
1738 Wren Way
Niceville, FL 325787102
Additional practice locations
4 secondary locations on file with NPPES.
Location 2
2502 W Elk Ave
Duncan, OK 735331562
Location 3
4200 Sun N Lake Blvd
Sebring, FL 338721986
Location 4
850 S Main St
Holly Springs, NC 275408906
Location 5
250 Park St
Bowling Green, KY 421011760
Specialties
-
Pediatrics PrimaryA 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...
-
HospitalistHospitalists 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 100877500 |
Multi-state credentialing: Licensed in 6 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 86 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.