Relias Emergency Medicine Specialists of St Dominic LLC
NPI 1235808122ActiveOrganization· Emergency Medicine· Jackson, MS
Emergency Medicine in Jackson, Mississippi, registered in NPPES in September 2021. The authorized official on file is Jennifer Kathryn Wakeford, Enterprise Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1235808122 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2021 |
| Last updated in NPPES | Oct 16, 2025 |
| Certified by provider | Oct 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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