Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Alexis Jane Wildman, MD

Individual provider Emergency Medicine Physician · NPI 1083302855

Dr. Alexis Jane Wildman, MD is an Emergency Medicine in Southaven, Mississippi. Qualified in 2023, 3 years ago. Licensed in Mississippi and Tennessee.

Years since qualifying
3
Licensed in
MS, TN
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7601 Southcrest Pkwy
Southaven, MS 38671-4742
Phone: (662) 772-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 37048 (MS)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 77086 (TN)

Record details

NPI number1083302855
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2023
Last updated in NPPESJune 28, 2026
Certification dateJune 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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