Individual provider Active NPI

Austin Jacob Wise, D.O.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1942655097
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3655 Issued in TN
Practice address
920 Madison Ave Ste 447
Memphis, TN 38103-3438
Phone
(901) 448-5814
NPI assigned
Apr 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3655 TN Primary

Addresses

Primary practice location

920 Madison Ave Ste 447
Memphis, TN 38103-3438

Mailing address

920 Madison Ave Ste 447
Memphis, TN 38103-3438
Phone (901) 448-5814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190822004344 TN Practitioner - Internal Medicine 5193016673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lincoln Memorial University Medical Department, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uhs Primary Care LLCGroup PAC ID 1153849856, 92 clinicians

Practice addresses (Care Compare)

9625 Kroger Park Dr
Suite 500
Knoxville, TN 37922-8800
Phone (865) 531-8100

Hospital & facility affiliations

  • University of TN Medical Center Home Care Services Home health agency, Knoxville, TN, CCN 447230
  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015
  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs Primary Care LLC Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
University Health System Inc CurrentSince Oct 1, 2021 Accepting new patients
Statcare Inpatient LLC Internal Medicine CurrentSince Jul 15, 2019 Accepting new patients
Uhs Primary Care LLC Internal Medicine Current Accepting new patients
University Health System, Inc CurrentSince Oct 1, 2021 Accepting new patients
University Health System, Inc Internal Medicine Current Accepting new patients
Uhs Primary Care LLC CurrentSince Jun 1, 2025 Accepting new patients
Uhs Primary Care LLC Past Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

9625 Kroger Park Dr
Ste 500
Knoxville, TN 37922
Phone (865) 531-8100

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

5779 Creekwood Park Blvd
Ste 220
Lenoir City, TN 37772
Phone (865) 988-6330

Organizations & group practices 9

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

Hospital & facility affiliations 4

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": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1942655097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MADISON AVE STE 447",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033438",
            "telephone_number": "901-448-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MADISON AVE STE 447",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033438",
            "telephone_number": "901-448-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "AUSTIN",
        "middle_name": "JACOB",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-26",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "3655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.