ST. DOMINIC MEDICAL ASSOCIATES, LLC
NPI 1083989412
Psychiatry & Neurology - Neurology in Jackson, MS

Active since March 19, 2012
969 LAKELAND DR, JACKSON, MS 39216(601) 200-4749(601) 200-5929 Get Directions Write a Review

NPPES record last updated: March 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St. Dominic Medical Associates, Llc NPPES

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

ST. DOMINIC MEDICAL ASSOCIATES, LLC (NPI 1083989412) is a healthcare organization registered as a neurology in Jackson, Mississippi and active in the NPI registry since March 2012. The organization lists Jennifer Sinclair, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1083989412
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameST. DOMINIC MEDICAL ASSOCIATES, LLC
Location Address969 LAKELAND DRJackson, MS 39216-4606
Mailing AddressPo Box 23666Jackson, MS 39225-3666 · (601) 200-4749 · Fax (601) 200-5929
Fax(601) 200-5929
Organization SubpartYesParent: St. Dominic Jackson Memorial Hospital
Authorized OfficialJennifer SinclairVp Of Finance · (601) 200-4749
Enumeration DateMarch 19, 2012
NPI 1083989412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

969 LAKELAND DR, Jackson, MS 39216

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

Other Providers at the Same Location NPPES 20

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

Internal Medicine
969 LAKELAND DR
JACKSON, MS 39216
Pharmacy (Institutional Pharmacy)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner
969 LAKELAND DR
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Emergency Medicine
969 LAKELAND DR
JACKSON, MS 39216

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 1083989412. It was assigned to this organization in the NPPES registry on March 19, 2012.

Where is St. Dominic Medical Associates, LLC located?

St. Dominic Medical Associates, LLC is located at 969 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 200-4749.

What is St. Dominic Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for St. Dominic Medical Associates, LLC was last updated on March 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.