Individual provider Active NPI

Marlee Wadsworth, MD

  • Allergy & Immunology Physician
  • Hattiesburg, MS
National Provider Identifier
1003375858
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
31595 Issued in MS
Practice address
6414 U S Highway 98 Ste 80
Hattiesburg, MS 39402-7838
Phone
(601) 261-1800
Fax
(601) 261-1801
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 31595 MS Primary
Internal Medicine Physician 207R00000X 31595 MS

Addresses

Primary practice location

6414 U S Highway 98 Ste 80
Hattiesburg, MS 39402-7838

Mailing address

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

Other practice location 1

2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20231113003325 MS Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 1951632017 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of Mississippi School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hattiesburg Clinic PAGroup PAC ID 5193706794, 525 clinicians

Practice addresses (Care Compare)

3550 Hwy 468 W
Whitfield, MS 39193-0157
Phone (601) 351-8000

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Hattiesburg Clinic PA CurrentSince Jun 17, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Hattiesburg Clinic, PA CurrentSince Jun 17, 2025 Accepting new patients
Mississippi State Hospital at Whitfield Current Accepting new patients
Hattiesburg Clinic, PA Allergy & Immunology Past Accepting new patients

Locations

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

6414 U S Highway 98
Ste 80
Hattiesburg, MS 39402
Phone (601) 261-1800

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

3550 Highway 468 W
Whitfield, MS 39193

3550 Highway 468 W
#B60
Whitfield, MS 39193

Interoperability endpoints

  • Direct secure messaging: mwadsworth151376@directpatientrecord.com

Organizations & group practices 7

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 1

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1003375858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-264-6000",
            "fax_number": "601-261-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 U S HIGHWAY 98 STE 80",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027838",
            "telephone_number": "601-261-1800",
            "fax_number": "601-261-1801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-815-0600",
            "fax_number": "601-815-0985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADSWORTH",
        "first_name": "MARLEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MS",
            "license": "31595",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "31595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.