Relias Emergency Medicine Specialists of Hattiesburg LLC
Organization Active NPI Emergency Medicine Physician · Hattiesburg, MS
NPI 1609409440 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1609409440
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- RELIAS EMERGENCY MEDICINE SPECIALISTS OF HATTIESBURG LLC
- Practice address
- 6051 U S Highway 49
Hattiesburg, MS 39401-7200 - Phone
- (662) 432-4106
- NPI assigned
- Feb 20, 2020
- Organization subpart
- No
Authorized official
- Name
- Jennifer Kathryn Wakeford
- Title
- Enterprise Cfo
- Phone
- (205) 901-5103
Practitioners 111
-
Kristin Kay Anderson, DNP, FNP-C, ENP-C
-
Heather Pritchett Bassi, FNP, ACNP
-
Robert Lyon Brown, M.D.
-
Rhonda Cox, MSN, FNP-C/AGACNP-BC
-
Michael Farmer, DO
-
Melanie Fox, MD
-
Lauren O'Neal Garner, FNP-C
-
David A Hooker, M.D.
-
John Jennings, MD
-
Eric Jordan, MD
-
Daniel Krebs, M.D
-
Karen Creel Ladnier, AGACNP
-
Grif A Leek, MD
-
Lisa L Leek, MD
-
Dametra Mangum, FNP
-
Trinity McKenzie, M.D.
-
Becky Jan Mercier, RN, CFNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200413002970 | MS | Part B Supplier - Clinic/Group Practice | 9032549142 |
Receives reassigned benefits from 111 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
PO Box 30275
Charlotte, NC 28230-0275
Phone (662) 432-4106
Other providers in Hattiesburg, MS
- 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 Clinical Decision Specialists of Hattiesburg, LLC
- Relias Hospitalist Medicine Specialists of Hattiesburg LLC
- William L Reno III
- Resilient Driven Life, LLC
- Resilient Therapy and Solutions, PLLC
- Respire Health LLC
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.