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ST DOMINIC RALEIGH FAMILY PRACTICE
NPI 1083032171
Family Medicine in Raleigh, MS

Active since April 04, 2014
342 MAGNOLIA DR, RALEIGH, MS 39153(601) 200-6809(601) 200-5929 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St Dominic Raleigh Family Practice NPPES

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

ST DOMINIC RALEIGH FAMILY PRACTICE (NPI 1083032171) is a healthcare organization registered as a family medicine in Raleigh, Mississippi and active in the NPI registry since April 2014. The organization maintains a secondary practice location in Magee and lists Danielle Stuart, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1083032171
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST DOMINIC MEDICAL ASSOCIATES LLC
Location Address342 MAGNOLIA DRRaleigh, MS 39153-6012
Mailing AddressPo Box 23666Jackson, MS 39225-3666 · (601) 200-4749 · Fax (601) 200-5929
Phone(601) 200-6809
Fax(601) 200-5929
Organization SubpartYesParent: St Dominic Jackson Memorial Hospital
Authorized OfficialDanielle StuartCredentialing Specialist · (601) 200-4880
Enumeration DateApril 4, 2014
Last NPPES UpdateJuly 2, 2019
✔ NPI 1083032171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 16442
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
342 MAGNOLIA DR, Raleigh, MS 39153
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Other Names 1

Doing Business AsSt Dominic Raleigh Family Practice

Secondary Practice Location 1

Location 1360 Simpson Highway 149 Ste 370Magee, MS 39111-3843 · Phone (601) 849-1530 · Fax (601) 849-1535

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PAMELA DENISE HARDIN NP
Nurse Practitioner
342 MAGNOLIA DR
RALEIGH, MS 39153
Smith County (601) 782-5665
KENNETH BRENT CAIN D.O.
Family Medicine
342 MAGNOLIA DR
RALEIGH, MS 39153
Smith County (601) 782-5665
INDEPENDENT HEALTHCARE MANAGEMENT, INC.
Clinic/Center (Rural Health)
342 MAGNOLIA DR
RALEIGH, MS 39153
Smith County (601) 200-6809

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 St Dominic Medical Associates LLC's NPI number?

The NPI number for St Dominic Medical Associates LLC is 1083032171. It was assigned to this organization in the NPPES registry on April 4, 2014. The provider is doing business as St Dominic Raleigh Family Practice.

Where is St Dominic Medical Associates LLC located?

St Dominic Medical Associates LLC is located at 342 Magnolia Dr, Raleigh, MS 39153. The listed phone number is (601) 200-6809.

What is St Dominic Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does St Dominic Medical Associates LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list St Dominic Medical Associates 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 St Dominic Medical Associates LLC was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.