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RH EMERGENCY MEDICINE OF JEFFERSON DAVIS LLC
NPI 1356103527
Emergency Medicine in Prentiss, MS

Active since January 24, 2024
1102 ROSE ST, PRENTISS, MS 39474(601) 792-4276 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rh Emergency Medicine Of Jefferson Davis Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RH EMERGENCY MEDICINE OF JEFFERSON DAVIS LLC (NPI 1356103527) is a healthcare organization registered as an emergency medicine in Prentiss, Mississippi and active in the NPI registry since January 2024. The organization lists Jennifer Kathryn Wakeford, Enterprise Cfo, as its authorized official.

NPPES Registry Identity

NPI1356103527
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameRH EMERGENCY MEDICINE OF JEFFERSON DAVIS LLC
Location Address1102 ROSE STPrentiss, MS 39474-5200
Mailing AddressPo Box 7058Tupelo, MS 38802-7058
Phone(601) 792-4276
Organization SubpartNo
Authorized OfficialJennifer Kathryn WakefordEnterprise Cfo · (205) 901-5103
Enumeration DateJanuary 24, 2024
Last NPPES UpdateSeptember 26, 2024
NPPES CertifiedSeptember 26, 2024
✔ NPI 1356103527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1102 ROSE ST, Prentiss, MS 39474
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rh Emergency Medicine Of Jefferson Davis Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

57

Medicare enrollment records show 57 clinicians reassign Medicare billing to Rh Emergency Medicine Of Jefferson Davis LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner30
Emergency Medicine18
Family Practice3
Internal Medicine3
General Surgery1
Hospitalist1
Osteopathic Manipulative Medicine1

Nearest to this location (20)

See all 57
Jessica Garner, CRNP
Nurse Practitioner
NPI 1982913729
300 3RD AVE SE
Magee, MS 39111
(601) 849-5070
✔ PECOS✔ Accepts Medicare21 mi
Evan Underwood, M.D.
Emergency Medicine
NPI 1205148459
420 SMITH COUNTY ROAD 40
Mount Olive, MS 39119
(601) 517-6019
✔ PECOS✔ Accepts Medicare21 mi
Billy Pearson, NP
Nurse Practitioner
NPI 1780025809
1560 SUMRALL RD
Columbia, MS 39429
(601) 736-6303
✔ PECOS✔ Accepts Medicare24 mi
Shannon Loftin, FNP-C
Nurse Practitioner
NPI 1609226109
502 BROAD ST
Columbia, MS 39429
(601) 736-8282
✔ PECOS✔ Accepts Medicare24 mi
Johnny Bullock, MD
Internal Medicine
NPI 1043268709
62 HIGHWAY 587
Foxworth, MS 39483
(601) 424-3540
✔ PECOS✔ Accepts Medicare25 mi
Daniel Stevens, D.O.
Emergency Medicine
NPI 1215137096
1842 SIMPSON HIGHWAY 149
Mendenhall, MS 39114
(601) 847-2424
✔ PECOS✔ Accepts Medicare26 mi
John Kinsey, FNP
Nurse Practitioner
NPI 1447736491
6414 HWY 98 WEST 70
Hattiesburg, MS 39402
(601) 298-1881
✔ PECOS✔ Accepts Medicare33 mi
Angela Hales, DO
Emergency Medicine
NPI 1922252477
5001 HARDY ST
Hattiesburg, MS 33402
(601) 296-3600
✔ PECOS✔ Accepts Medicare35 mi
Jennifer Mccurdy, NP
Nurse Practitioner
NPI 1710390943
5001 HARDY ST
Hattiesburg, MS 39402
(601) 268-3600
✔ PECOS✔ Accepts Medicare35 mi
Cindy Armstead, D.O.
Emergency Medicine
NPI 1942427802
5001 HARDY ST
Hattiesburg, MS 39402
(601) 268-5280
✔ PECOS35 mi
William Shaw, FNP-C
Nurse Practitioner
NPI 1316450125
213 CALDWELL DR
Hazlehurst, MS 39083
(601) 894-4661
✔ PECOS✔ Accepts Medicare36 mi
April Hopstein, FNP
Nurse Practitioner
NPI 1063961415
2899 WEST 4TH STREET
Hattiesburg, MS 39406
(601) 266-5390
✔ PECOS✔ Accepts Medicare37 mi
Christopher Blackwell, CNP
Nurse Practitioner
NPI 1982964565
107 BALL AVE
Tylertown, MS 39667
(601) 377-1975
✔ PECOS✔ Accepts Medicare37 mi
Michael Farmer, DO
Emergency Medicine
NPI 1326082835
6051 HIGHWAY 49
Hattiesburg, MS 39401
(601) 288-7000
✔ PECOS✔ Accepts Medicare37 mi
Derrick Trump, D.O.
Osteopathic Manipulative Medicine
NPI 1396108007
6051 U S HIGHWAY 49
Hattiesburg, MS 39401
(601) 288-7000
✔ PECOS✔ Accepts Medicare37 mi
Jason Shives, MD
Family Practice
NPI 1083942338
102 SHELBY SPEIGHTS DR
Purvis, MS 39475
(601) 794-8065
✔ PECOS✔ Accepts Medicare41 mi
Geralynn Morrison, M.D.
Hospitalist
NPI 1710984539
102 RED MAPLE TRL
Petal, MS 39465
(601) 310-6455
✔ PECOS44 mi
James Lock, MD
Internal Medicine
NPI 1063499002
199 RIMMER STREET
Walnut Grove, MS 39189
(601) 253-2733
✔ PECOS✔ Accepts Medicare73 mi
Gregory Myrick, M.D.
Family Practice
NPI 1972786960
73 LONG STREET
Millry, AL 36558
(251) 846-3233
✔ PECOS93 mi
Larry Killebrew, M.D.
General Surgery
NPI 1265514301
4500 13TH ST
Gulfport, MS 39501
(228) 865-3151
✔ PECOS96 mi
See all 57 clinicians

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 Rh Emergency Medicine Of Jefferson Davis LLC's NPI number?

The NPI number for Rh Emergency Medicine Of Jefferson Davis LLC is 1356103527. It was assigned to this organization in the NPPES registry on January 24, 2024.

Where is Rh Emergency Medicine Of Jefferson Davis LLC located?

Rh Emergency Medicine Of Jefferson Davis LLC is located at 1102 Rose St, Prentiss, MS 39474. The listed phone number is (601) 792-4276.

What is Rh Emergency Medicine Of Jefferson Davis LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Rh Emergency Medicine Of Jefferson Davis LLC enrolled in Medicare?

Yes. Rh Emergency Medicine Of Jefferson Davis LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rh Emergency Medicine Of Jefferson Davis LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 57 clinicians in 7 Medicare specialties reassign their Medicare billing to Rh Emergency Medicine Of Jefferson Davis 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 Nurse Practitioner (30), Emergency Medicine (18) and Family Practice (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rh Emergency Medicine Of Jefferson Davis LLC was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.