Relias Emergency Medicine Specialists of Fayette, LLC
Organization Active NPI Emergency Medicine Physician · Fayette, AL
NPI 1093201543 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1093201543
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- RELIAS EMERGENCY MEDICINE SPECIALISTS OF FAYETTE, LLC
- Practice address
- 1653 Temple Ave N
Fayette, AL 35555-1314 - Phone
- (662) 432-4106
- NPI assigned
- Jul 9, 2018
- Organization subpart
- No
Authorized official
- Name
- Jennifer Kathryn Wakeford
- Title
- Enterprise Cfo
- Phone
- (205) 901-5103
Practitioners 75
-
JF Donal Conway, MD
-
Timothy Blake Lovely, M.D.
-
John Thomas McDonald Jr., MEDICAL DOCTOR
-
Jeremy Shawn Pepper, M.D.
-
Manly Jackson Sullivan, MEDICAL DOCTOR
-
Gene Edward Walker Jr., M.D.
-
Elizabeth Holcombe Adams, M.D.
-
William R Brooke, MEDICAL DOCTOR
-
Nikki Lee Christensen, MEDICAL DOCTORS
-
Steven Coppock, M.D.
-
William Crawford, MD
-
Phillip Edwin Douglas, D.O.
-
Tamer M Elsayed, MD
-
Molly Jackson Gwin, CRNP
-
Alex T Hunt, M.D.
-
Inkil Hwangpo, DO
-
Aaron Jasper, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180918001531 | AL | Part B Supplier - Clinic/Group Practice | 6800147604 |
Receives reassigned benefits from 74 practitioners Practice locations: Fayette, AL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
1653 Temple Ave N
Fayette, AL 35555-1314
Mailing address
PO Box 31485
Charlotte, NC 28231-1485
Phone (662) 432-4106
Other providers in Fayette, AL
- Northstar EMS Inc
- Northwest Alabama Mental Health Center
- Brittany Nicole Pate
- Bruce Allen Perry
- Kimberly Pinkerton
- Relias Hospitalist Medicine Specialists of Fayette, LLC
- SCPG Alabama LLC
- State of Alabama
- State of Alabama Department of Public Health
- Gregory P Stidham
All providers in Fayette, AL · Emergency Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.