Relias Clinical Decision Specialists of Hattiesburg, LLC
Organization Active NPI Emergency Medicine Physician · Hattiesburg, MS
NPI 1336867415 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1336867415
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- RELIAS CLINICAL DECISION SPECIALISTS OF HATTIESBURG, LLC
- Practice address
- 6051 U S Highway 49
Hattiesburg, MS 39401-7200 - Phone
- (601) 288-7000
- NPI assigned
- Aug 16, 2022
- Organization subpart
- No
Authorized official
- Name
- Jennifer Kathryn Wakeford
- Title
- Enterprise Cfo
- Phone
- (205) 901-5103
Practitioners 53
-
Ralph Sumner Abraham IV, M.D.
-
Robert Lyon Brown, M.D.
-
Jennifer Buckley Duke, AGACNP-BC FNP-BC
-
Brandi Rawls Lockley, FNP, RNFA
-
David Morris, NP
-
Amber Ryals, NP
-
Brandi Michelle Ray Landry, FNP-C
-
Latoya P. Johnson, PA-C
-
Kristin Kay Anderson, DNP, FNP-C, ENP-C
-
Leigh P Drace, CFNP
-
Charles H Emrick, NP
-
Melanie Fox, MD
-
James Kevin Glisson, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230403000431 | MS | Part B Supplier - Clinic/Group Practice | 3173998358 |
Receives reassigned benefits from 52 practitioners Practice locations: Hattiesburg, MS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
6051 U S Highway 49
Hattiesburg, MS 39401-7200
Mailing address
6051 U S Highway 49
Hattiesburg, MS 39401-7200
Phone (601) 288-7000
Other providers in Hattiesburg, MS
- Region 12 Commission on Mental Health & Retardation Pine
- Region 12 Commission on Mental Health & Retardation Pine Belt Men
- Region XII Comm on Mental Health Dba Pine Belt Mental Healthcare
- Nicole Walker Register
- Sabih Ur Rehman
- Relias Emergency Medicine Specialists of Hattiesburg LLC
- Relias Hospitalist Medicine Specialists of Hattiesburg LLC
- William L Reno III
- Resilient Driven Life, LLC
- Resilient Therapy and Solutions, PLLC
All providers in Hattiesburg, MS · Emergency Medicine Physician in Mississippi
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.