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

Dr. Deena Renae Wise, DO

Individual provider Pediatrics Physician · NPI 1982683488

Dr. Deena Renae Wise, DO is a Pediatric Medicine in Lagrange, Georgia. Graduated from Oklahoma State University College of Osteopathic Medicine in 1999, 27 years ago. Works from 5 locations. Licensed in Florida, Georgia, Kentucky and Missouri and 2 more.

Years since qualifying
27
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
FL, GA, KY, MO, NC, OK
In the registry since
2006
Specialties on file
7
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1514 Vernon Rd
Lagrange, GA 30240-4131
Phone: (770) 845-3132
Show map & directions

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

Additional practice locations (4)

  • 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 — (407) 975-0412
  • 250 Park St, Bowling Green, KY 42101-1760 — (270) 796-6540
  • 850 S Main St, Holly Springs, NC 27540-8906 — (984) 960-1800
  • 2502 W Elk Ave, Duncan, OK 73533-1562 — (580) 252-9600

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 86763 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence 2002008852 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence OS15511 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence 3820 (OK)
Pediatrics Physician Taxonomy 208000000X · Licence 05305 (KY)
Pediatrics Physician Taxonomy 208000000X · Licence 2020-03433 (NC)
Hospitalist Physician Taxonomy 208M00000X · Licence OS15511 (FL)

Record details

NPI number1982683488
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 12, 2006
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025
Mailing address1738 Wren Way, Niceville, FL 32578-7102

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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