Active NPI
Wesley Health System LLC
Doing business as Merit Health Wesley
- Psychiatric Hospital Unit
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 12023
- Legal business name
- WESLEY HEALTH SYSTEM LLC
- Doing business as
- Merit Health Wesley
- Practice address
- 5001 Hardy St
Hattiesburg, MS 39402-1308 - Phone
- (601) 268-8000
- Fax
- (601) 268-5008
- NPI assigned
- Dec 29, 2015
- Last updated
- Apr 22, 2021
- Organization subpart
- Yes
- Parent organization
- WESLEY HEALTH SYSTEM LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula M Lalor
- Title
- Director/Delegated Official
- Phone
- (629) 215-3953
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 12023 | MS | Primary |
Addresses
Primary practice location
5001 Hardy St
Hattiesburg, MS 39402-1308
Mailing address
5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 268-8000
Other names 1
- Merit Health Wesley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160217000170 | MS | Part A Provider - Hospital | 4587656103 | Practice locations: Hattiesburg, MS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1053776591. Details of each certification follow.
Hospital certification: CCN 25S094
- Legal name
- WESLEY HEALTH SYSTEM LLC
- Doing business as
- MERIT HEALTH WESLEY
- Organization structure
- LLC
- Incorporated
- Jul 9, 1997 in DE
- Enrollment address
- 5001 Hardy St
Hattiesburg, MS 39402-1308 - Hospital subgroups
- Psychiatric
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Merit Health Wesley
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1841241841
Unit of hospital
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Merit Health Wesley
- Skilled Nursing Facility
- Hattiesburg, MS
- NPI 1164476107
4587656103
-
dba Merit Health Wesley
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1841241841
4587656103
National Provider Directory
National Provider Directory- Tax ID family
- Wesley Medical Center
- Part of
- Wesley Medical Center
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Merit Health Wesley
- Skilled Nursing Facility
- Hattiesburg, MS
- NPI 1164476107
-
dba Merit Health Wesley
- Clinical Medical Laboratory
- Hattiesburg, MS
- NPI 1275154619
-
dba Wesley Medical Center Employee Assistance Program
- Professional Counselor
- Hattiesburg, MS
- NPI 1326178039
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Anesthesiology Physician
- Hattiesburg, MS
- NPI 1811952021
Member Of
Locations
6026 U S Highway 98
Slp Ctr
Hattiesburg, MS 39402
Phone (601) 271-2204
Ownership & related parties
All disclosed owners & managing parties 21
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin J Hammons | Corporate Officer | Jan 1, 2020 | |
| Corporate Director | Jan 1, 2020 | ||
| QHG Georgia Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Mar 1, 2016 | 100% |
| Triad Nevada Holdings LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2016 | 100% |
| Nathaniel K Summar | Corporate Director | Jul 15, 2017 | |
| Justin D Pitt | Corporate Officer | Mar 1, 2022 | |
| Corporate Director | Mar 1, 2022 | ||
| William Bradley Cash | Corporate Officer | Jun 1, 2018 | |
| Hma-Tri Holdings LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2016 | 100% |
| Community Health Systems Inc | 5% Or Greater Indirect Ownership Interest | Mar 1, 2016 | 100% |
| Travis Riley Sisson | W-2 Managing Employee | Mar 4, 2024 | |
| Jason Kevin Johnson | Corporate Officer | Jan 6, 2020 | |
| Roman Gabriel Ottinger | Corporate Officer | Jan 6, 2020 | |
| QHG of Forrest County Inc | 5% Or Greater Direct Ownership Interest | Mar 1, 2016 | 5% |
| Triad Holdings V LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2016 | 100% |
| Paula M Lalor | Corporate Director | Apr 8, 2017 | |
| Triad Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2016 | 100% |
| Tennyson Holdings LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2016 | 100% |
| Edna S Buffington-Price | Corporate Director | Mar 1, 2022 | |
| QHG of Hattiesburg Inc | 5% Or Greater Direct Ownership Interest | Mar 1, 2016 | 95% |
| NC-DSH LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2016 | 100% |
| Christopher G Cobb | Corporate Officer | Apr 26, 2013 | |
| CHS Community Health Systems Inc | 5% Or Greater Indirect Ownership Interest | Mar 1, 2016 | 100% |
Facilities with the same owner 120
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Merit Health Rankin
- General Acute Care Hospital
- Brandon, MS
- NPI 1205882669
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC
-
dba Merit Health Rankin
- Psychiatric Hospital Unit
- Brandon, MS
- NPI 1427098391
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC
-
dba Merit Health Central
- General Acute Care Hospital
- Jackson, MS
- NPI 1033163092
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC
-
dba Merit Health Natchez
- Rehabilitation Hospital Unit
- Natchez, MS
- NPI 1083013478
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC
-
dba Merit Health Natchez
- General Acute Care Hospital
- Natchez, MS
- NPI 1164821559
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC
-
dba Merit Health Natchez
- Medicare Defined Swing Bed Hospital Unit
- Natchez, MS
- NPI 1457979908
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC
-
dba Merit Health River Oaks
- General Acute Care Hospital
- Flowood, MS
- NPI 1396792032
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC
-
dba Merit Health Women's Hospital
- Women's Hospital
- Jackson, MS
- NPI 1285681841
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC
-
dba River Region Rural Health - MOB1
- Rural Health Clinic/Center
- Vicksburg, MS
- NPI 1790915395
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC, Triad Holdings V LLC
-
dba River Region Rural Health - SC
- Rural Health Clinic/Center
- Vicksburg, MS
- NPI 1861622268
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC, Triad Holdings V LLC
-
dba Merit Health River Region
- General Acute Care Hospital
- Vicksburg, MS
- NPI 1215981303
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC, Triad Holdings V LLC
-
dba Merit Health River Region West
- Psychiatric Hospital Unit
- Vicksburg, MS
- NPI 1740228881
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC, Triad Holdings V LLC
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Sleep Medicine (Family Medicine) Physician
- Hattiesburg, MS
- NPI 1023073251
-
- Pediatrics Physician
- Hattiesburg, MS
- NPI 1164696951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619049600000",
"number": "1053776591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 HARDY ST",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021308",
"telephone_number": "601-268-8000",
"fax_number": "601-268-5008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 HARDY ST",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021308",
"telephone_number": "601-268-8000",
"fax_number": "601-268-5008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESLEY HEALTH SYSTEM LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WESLEY HEALTH SYSTEM LLC",
"enumeration_date": "2015-12-29",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A",
"authorized_official_last_name": "LALOR",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
"authorized_official_telephone_number": "629-215-3953"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "MS",
"license": "12023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Merit Health Wesley",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Merit Health Wesley",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hattiesburg, MS
- Jeremy Blake Wells, M.D.
- John Wells, CRNA
- Joseph Kyle Wells, CRNA
- Maria Wells, FNP
- Rokeshia Wells, LMFT
- Wesley Health System LLC (Merit Health Wesley)
- Wesley Health System LLC (Merit Health Wesley)
- Wesley Health System LLC (Wesley Medical Center Employee Assistance Program)
- Wesley Health System LLC (Merit Health Wesley)
- Wesley Physician Services LLC (Merit Health Medical Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.