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

Mary Fowler Wise, DO

Individual provider Family Medicine Physician · NPI 1831545086

Mary Fowler Wise, DO is a Family Practice in Knoxville, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2016, 10 years ago. Practices with Covenant Medical Group Inc, a 356-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
10
Trained at
Lincoln Memorial University Medical Department
Licensed in
TN
In the registry since
2016
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.

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Practice location Address checks out

1300 Old Weisgarber Rd
Knoxville, TN 37909-1291
Phone: (865) 584-2146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 3759 (TN)

Record details

NPI number1831545086
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 6, 2016
Last updated in NPPESJune 18, 2020
Certification dateJune 18, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2016 (10 years in practice)
Group practice Covenant Medical Group Inc — 356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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