Individual provider Active NPI

Lauren Hobart Wise, PA

  • Surgical Physician Assistant
  • Tuscaloosa, AL
National Provider Identifier
1740467794
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA-573 Issued in AL
Practice address
305 Paul Bryant Drive E
Tuscaloosa, AL 35403-2055
Phone
(205) 345-0192
Fax
(205) 247-2194
NPI assigned
Jan 22, 2008
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA-573 AL Primary

Addresses

Primary practice location

305 Paul Bryant Drive E
Tuscaloosa, AL 35403-2055

Mailing address

305 Paul W Bryant Dr E
Tuscaloosa, AL 35401-2055
Phone (205) 345-0192

Other identifiers 1

IdentifierTypeStateIssuer
051060244OtherALBLUE CROSS BLUE SHIELD

Other names 1

  • Lauren Leah Hobart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080304000060 AL Practitioner - Physician Assistant 6709960578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Orthopaedic Clinic P CGroup PAC ID 9830091859, 22 clinicians

Practice addresses (Care Compare)

2702 Hospital Dr
Suite 101
Northport, AL 35476-3376
Phone (205) 345-0192

305 Paul W Bryant Dr E
Tuscaloosa, AL 35401-2055
Phone (205) 345-0192

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-573ALMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopaedic Clinic, PC Surgical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1740467794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PAUL W BRYANT DR E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012055",
            "telephone_number": "205-345-0192",
            "fax_number": "205-759-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 PAUL BRYANT DRIVE E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354032055",
            "telephone_number": "205-345-0192",
            "fax_number": "205-247-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "LAUREN",
        "middle_name": "HOBART",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA-573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051060244",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "HOBART",
            "middle_name": "LEAH",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.