Individual provider Active NPI

Charles M Wren II, DO

  • Emergency Medicine Physician
  • Tupelo, MS
National Provider Identifier
1629016126
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
14798 Issued in MS
Practice address
830 S Gloster St
Tupelo, MS 38801-4934
Phone
(662) 891-2999
NPI assigned
Jun 4, 2006
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 14798 MS Primary
Emergency Medicine Physician 207P00000X 1619 TN

Addresses

Primary practice location

830 S Gloster St
Tupelo, MS 38801-4934

Mailing address

PO Box 1530
Saltillo, MS 38866-1530
Phone (662) 891-2999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, KY, WV, TX, AL6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20040827000176 MS Practitioner - Emergency MedicinePractitioner - General PracticePractitioner - Dermatology 3375518038 Reassigns benefits to 7 organizations
I20170526001646 TN Practitioner - Emergency Medicine 3375518038 Reassigns benefits to 6 organizations
I20170925000961 KY Practitioner - Emergency Medicine 3375518038 Reassigns benefits to 1 organization
I20171102003245 WV Practitioner - Emergency Medicine 3375518038 Reassigns benefits to 2 organizations
I20221129002238 TX Practitioner - Emergency Medicine 3375518038 Reassigns benefits to 1 organization
I20250618003623 AL Practitioner - Emergency Medicine 3375518038 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Putnam Emergency Physicians PLLCGroup PAC ID 3779946488, 34 clinicians
T M Carr MD PCGroup PAC ID 3375504913, 19 clinicians
RH Emergency Medicine of Och Regional LLCGroup PAC ID 0941734990, 22 clinicians
Relias Emergency Medicine Specialists of Regional, LLCGroup PAC ID 9436401106, 29 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (931) 528-2541

3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5200

400 Hospital Rd
Starkville, MS 39759-2163
Phone (662) 432-4106

809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone (205) 759-7111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP035KYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
402ALMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Dec 14, 2022 Accepting new patients
RH Emergency Medicine of Och Regional LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Relias Emergency Medicine Specialists of Amory, LLC Emergency Medicine CurrentSince Apr 6, 2025 Accepting new patients
Relias Emergency Medicine Specialists of West Point, LLC Emergency Medicine CurrentSince Apr 6, 2025 Accepting new patients
The DCH Health Care Authority CurrentSince Jul 25, 2025 Accepting new patients
United Emergency Services, Inc. Emergency Medicine CurrentSince Mar 1, 2007 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Nov 10, 2019 Accepting new patients
Carr PLLC Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Apr 21, 2024 Accepting new patients
West Alabama Palliative Care Service LLC Current Accepting new patients
Relias Emergency Medicine Specialists of Regional, LLC Emergency Medicine CurrentSince May 22, 2025 Accepting new patients
DCH Healthcare Authority Current Accepting new patients
Relias Emergency Medicine Specialists of Northport, LLC Emergency Medicine CurrentSince May 22, 2025 Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Dec 21, 2025 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
Sycamore Physicians LLC Emergency Medicine CurrentSince Jan 20, 2024 Accepting new patients
The DCH Healthcare Authority CurrentSince Jul 25, 2025 Accepting new patients
Relias Emergency Medicine Specialists of Tupelo LLC Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Putnam Emergency Physicians, PLLC Emergency Medicine CurrentSince Oct 17, 2024 Accepting new patients
Magnolia Regional Health Center Emergency Medicine Current Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince Aug 16, 2018 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine Past Accepting new patients
McLemore Emergency Physicians Emergency Medicine PastSince Dec 18, 2007 Accepting new patients
North Ms Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

400 Hospital Rd
Starkville, MS 39759
Phone (662) 323-4320

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

1325 Highway 76
Clarksville, TN 37043
Phone (615) 788-9324

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

188 Hospital Ln
Jellico, TN 37762
Phone (423) 784-1272

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Interoperability endpoints

  • Direct secure messaging: cwren24801@mlh.direct-ci.com

Organizations & group practices 27

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 27

Hospital & facility affiliations 6

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1629016126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1530",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388661530",
            "telephone_number": "662-891-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "662-891-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WREN",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "14798",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "1619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.