Active NPI
Relias Hospitalist Medicine Specialists of Pontotoc LLC
- Hospitalist Physician
- Pontotoc, MS
National Provider Identifier
1972189330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- RELIAS HOSPITALIST MEDICINE SPECIALISTS OF PONTOTOC LLC
- Practice address
- 176 S Main St
Pontotoc, MS 38863-3311 - Phone
- (662) 489-5510
- NPI assigned
- Mar 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Kathryn Wakeford
- Title
- Enterprise Cfo
- Phone
- (205) 901-5103
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
176 S Main St
Pontotoc, MS 38863-3311
Mailing address
PO Box 32095
Charlotte, NC 28232-2095
Phone (662) 432-4106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210604001444 | MS | Part B Supplier - Clinic/Group Practice | 0143629592 |
Receives reassigned benefits from 46 practitioners Practice locations: Pontotoc, MS |
National Provider Directory
National Provider DirectoryLocations
176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510
Practitioners & affiliated clinicians
Practitioners 46
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760572800000",
"number": "1972189330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32095",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282322095",
"telephone_number": "662-432-4106",
"fax_number": "781-276-6411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 S MAIN ST",
"city": "PONTOTOC",
"state": "MS",
"postal_code": "388633311",
"telephone_number": "662-489-5510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIAS HOSPITALIST MEDICINE SPECIALISTS OF PONTOTOC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-24",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A",
"authorized_official_last_name": "WAKEFORD",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "KATHRYN",
"authorized_official_title_or_position": "ENTERPRISE CFO",
"authorized_official_telephone_number": "205-901-5103"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pontotoc, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.