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

Jeremy Andrew Wise, MD

Individual provider Orthopaedic Surgery Physician · NPI 1912565763

Jeremy Andrew Wise, MD is an Orthopedic Surgery in Hattiesburg, Mississippi. Graduated from University of Mississippi School of Medicine in 2019, 7 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Mississippi and South Carolina.

Years since qualifying
7
Trained at
University of Mississippi School of Medicine
Licensed in
FL, MS, SC
In the registry since
2019
Specialties on file
3
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

103 Medical Park Fl 2
Hattiesburg, MS 39401-9042
Phone: (601) 268-5630
Fax: (601) 579-3285
Show map & directions

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

Additional practice locations (1)

  • 5597 N Dixie Highway 2nd Floor, Oakland Park, FL 33334 — (954) 542-8488

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence 35263 (MS)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 166939 (FL)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence LL82680 (SC)

Record details

NPI number1912565763
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2019
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Hattiesburg Clinic Pa — 530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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