Johnathan Lloyd Wise, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD.308148 Issued in LA

Practice address

406 N Acadia Rd
Thibodaux, LA 70301-4856

Phone

(985) 446-2890

Fax

(985) 446-2189

NPI assigned

Apr 23, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Obstetrics/Gynecology

Education

Louisiana State University School of Medicine in Shreveport, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thibodaux Regional Network Development CorporationGroup PAC ID 8224011754, 138 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004

Merit-based Incentive Payment System (MIPS)

Final score

82.55 of 100Reported as group

Quality

67.62

Promoting interoperability

100

Improvement activities

40

Cost

71.34

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnathan.wise@direct.thibodaux.la-hie.org

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.

• Thibodaux Regional Network Development Corporation

  • Anesthesiology Physician
  • Thibodaux, LA
  • NPI 1285658310
  Medicare reassignment Care Compare group NPD
• Baton Rouge General Physicians, Inc.

  • Obstetrics Physician
  • Baton Rouge, LA
  • NPI 1609134766

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Baton Rouge General Physicians, Inc.

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1992729560
  Medicare reassignment NPD
• Baton Rouge General Physicians, Inc.

  • Sleep Medicine (Internal Medicine) Physician
  • Baton Rouge, LA
  • NPI 1518688985
  NPD
• Thibodaux Regional Network Development Corporation

  • Obstetrics & Gynecology Physician
  • Thibodaux, LA
  • NPI 1184963613
  NPD
• Thibodaux Regional Network Development Corporation

  • Clinical Cardiac Electrophysiology Physician
  • Thibodaux, LA
  • NPI 1770435851
  NPD
• Thibodaux Regional Health System Inc

  • General Acute Care Hospital
  • Thibodaux, LA
  • NPI 1902465065
  NPD (past)
• Thibodaux Regional Network Development Corporation

  • Diagnostic Radiology Physician
  • Thibodaux, LA
  • NPI 1467427336
  NPD (past)

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

• Thibodaux Regional Health System Inc

  • General Acute Care Hospital
  • Thibodaux, LA
  • NPI 1902465065
  Care Compare affiliation

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1992125355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 N ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014862",
            "telephone_number": "985-448-1121",
            "fax_number": "985-446-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014856",
            "telephone_number": "985-446-2890",
            "fax_number": "985-446-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "JOHNATHAN",
        "middle_name": "LLOYD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.308148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherry Wilmore
• Sherry Marie Wilmore
• Wilson Transportation
• Jerome Wilson
• Dru Wintter, LMT
• Rhandi A Wise, MD
• Leah Woerner
• Ericka Wolfe
• Rebecca Anne Wood, FNP
• Christina Victoria Woods

• Obstetrics & Gynecology Physician in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Obstetrics & Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.