Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY ANDREW WISE, MD
ActiveJEREMY ANDREW WISE, MD is a Sports Medicine (Orthopaedic) healthcare provider located in HATTIESBURG, Mississippi. NPI 1912565763 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · HATTIESBURG, MS
Registration Details
- NPI Number
- 1912565763
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2019 (7.238039168174 yrs)
- Last Updated
- Aug 18, 2025
- Licenses
-
166939 (FL)LL82680 (SC)35263 (MS)
Practice Information
- Address
-
103 MEDICAL PARK FL 2HATTIESBURG, MS, 394019042Browse MS providers · Browse ZIP 39401
- Phone
- 6012685630
- Fax
- 6015793285
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
- Additional Specialty
- Orthopaedic Surgery
- Additional Specialty
- Sports Medicine (Orthopaedic)
Other Sports Medicine (Orthopaedic) Providers in HATTIESBURG, MS
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD A CONN | M.D. | 1902835044 |
| MATTHEW VALENTINE | — | 1780117879 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.