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

Robert Wade Wineman, MD

Individual provider Diagnostic Radiology Physician · NPI 1760690713

Robert Wade Wineman, MD is a Diagnostic Radiology in Jackson, Mississippi. Graduated from University of Mississippi School of Medicine in 2003, 23 years ago. Practices with Lakeland Radiologists P A, a 29-clinician group and accepts Medicare assignment. Licensed in Mississippi and Virginia.

Years since qualifying
23
Trained at
University of Mississippi School of Medicine
Licensed in
MS, VA
In the registry since
2007
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

969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (877) 406-2916
Fax: (601) 682-7909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 20544 (MS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0101237841 (VA)

Record details

NPI number1760690713
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESFebruary 10, 2017
Mailing addressPo Box 55769, Jackson, MS 39296-5769

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Lakeland Radiologists P A — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

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