Jeremy Blake Wells, MD
Jeremy Blake Wells, MD is a Sports Medicine in Hattiesburg, Mississippi. Graduated from University of Mississippi School of Medicine in 2011, 15 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 15
- Trained at
- University of Mississippi School of Medicine
- Licensed in
- MS
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
103 Medical Park Fl 2Hattiesburg, MS 39401-9042
Phone: (601) 268-5630
Fax: (601) 579-3285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X · Licence 22493 (MS) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence T-2501 (MS) |
Record details
| NPI number | 1144517822 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 1, 2011 |
| Last updated in NPPES | May 9, 2024 |
| Certification date | May 9, 2024 |
Medicare enrollment
| Medicare specialty | SPORTS MEDICINE |
|---|---|
| Also practises | FAMILY PRACTICE |
| Medical school | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduated | 2011 (15 years in practice) |
| Group practice | Hattiesburg Clinic Pa — 530 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Hattiesburg
-
Action Potential, PLLC
31 Town Center Sq # 200, Hattiesburg, MS 39402-7040 · (601) 620-6225
-
Nathan Chambers Darby, MD
103 Tatum Park, Hattiesburg, MS 39401 · (601) 268-5630
-
Christopher Alan Penton, MD
31 Town Center Sq Ste 200, Hattiesburg, MS 39402-7040 · (601) 620-6225