Family Medicine
ST. DOMINIC MEDICAL ASSOCIATES LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1407920549 · enumerated 2006-11-20 · record updated 2021-11-18. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DANIELLE STUART, Credentialing Specialist · (601) 200-4880
Addresses and phones
- Practice location 969 LAKELAND DR, JACKSON, MS, 39216-4606 (601) 200-4749 Fax (601) 200-5929 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 23666, JACKSON, MS, 39225-3666 (601) 200-4749 Fax (601) 200-5929 Google Maps Apple Maps OpenStreetMap
Specialties
- Surgery, Surgical Critical Care 2086S0102X
- Urology 208800000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X
- 208VP0000X 208VP0000X
- Neurological Surgery 207T00000X
- Obstetrics & Gynecology, Gynecologic Oncology 207VX0201X
- Otolaryngology 207Y00000X
- Psychiatry & Neurology, Neurology 2084N0400X
- Psychiatry & Neurology, Psychiatry 2084P0800X
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
JACKSON, MS, 392164606
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.