RELIAS EMERGENCY MEDICINE SPECIALISTS OF ST DOMINIC LLC
NPI 1235808122
Emergency Medicine in Jackson, MS
About Relias Emergency Medicine Specialists Of St Dominic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RELIAS EMERGENCY MEDICINE SPECIALISTS OF ST DOMINIC LLC (NPI 1235808122) is a healthcare organization registered as an emergency medicine in Jackson, Mississippi and active in the NPI registry since September 2021. The organization lists Jennifer Kathryn Wakeford, Enterprise Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Relias Emergency Medicine Specialists Of St Dominic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
31Medicare enrollment records show 31 clinicians reassign Medicare billing to Relias Emergency Medicine Specialists Of St Dominic LLC, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 31Jackson, MS 39216
Jackson, MS 39216
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Relias Emergency Medicine Specialists Of St Dominic LLC's NPI number?
The NPI number for Relias Emergency Medicine Specialists Of St Dominic LLC is 1235808122. It was assigned to this organization in the NPPES registry on September 13, 2021.
Where is Relias Emergency Medicine Specialists Of St Dominic LLC located?
Relias Emergency Medicine Specialists Of St Dominic LLC is located at 969 Lakeland Dr, Jackson, MS 39216. The listed phone number is (781) 280-1699.
What is Relias Emergency Medicine Specialists Of St Dominic LLC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Relias Emergency Medicine Specialists Of St Dominic LLC enrolled in Medicare?
Yes. Relias Emergency Medicine Specialists Of St Dominic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Relias Emergency Medicine Specialists Of St Dominic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 3 Medicare specialties reassign their Medicare billing to Relias Emergency Medicine Specialists Of St Dominic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (20), Nurse Practitioner (10) and Internal Medicine (1). Of these, 13 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Relias Emergency Medicine Specialists Of St Dominic LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Relias Emergency Medicine Specialists Of St Dominic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Relias Emergency Medicine Specialists Of St Dominic LLC was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Relias Emergency Medicine Specialists Of St Dominic Llc · NPI 1235808122
Emergency Medicine organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since September 13, 2021.
## Identity
- **NPI:** 1235808122 (Entity type: Organization)
- **Enumerated:** September 13, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Wakeford, ENTERPRISE CFO
## Practice location
- **Address:** 969 LAKELAND DR, Jackson, MS 39216-4606
- **Phone:** (781) 280-1699
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 31 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (20), Nurse Practitioner (10), Internal Medicine (1); 13 practice at this address and 20 within 10 miles; [full list](https://npiprofile.com/npi/1235808122/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1235808122) · Data from the CMS NPPES public registry.