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ST DOMINIC PAIN MANAGEMENT CENTER
NPI 1124452859
Pain Medicine - Interventional Pain Medicine in Jackson, MS

Active since August 29, 2013CLIA 25D2089641 · Waiver
970 LAKELAND DR, SUITE 45, JACKSON, MS 39216(601) 200-4690(601) 200-4698 Get Directions Write a Review

NPPES record last updated: February 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Dominic Pain Management Center NPPES

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

ST DOMINIC PAIN MANAGEMENT CENTER (NPI 1124452859) is a healthcare organization registered as an interventional pain medicine in Jackson, Mississippi and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through January 5, 2027 and lists Jennifer Sinclair, President Of Sdma, as its authorized official.

NPPES Registry Identity

NPI1124452859
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameST DOMINIC MEDICAL ASSOCIATES LLC
Location Address970 LAKELAND DR, SUITE 45Jackson, MS 39216-4635
Mailing AddressPo Box 23666Jackson, MS 39225-3666 · (601) 200-4749 · Fax (601) 200-5929
Phone(601) 200-4690
Fax(601) 200-4698
Organization SubpartYesParent: St Dominic Jackson Memorial Hospital
Authorized OfficialJennifer SinclairPresident Of Sdma · (601) 200-2000
Enumeration DateAugust 29, 2013
Last NPPES UpdateFebruary 4, 2015
✔ NPI 1124452859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
970 LAKELAND DR, Jackson, MS 39216
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Other Names 1

Doing Business AsSt Dominic Pain Management Center

Other Identifiers 2

Medicaid08009242MS
Medicare PIN302G700675MS

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2089641

St Dominic Pain Management Center · Jackson, MS
Active · expires Jan 5, 2027
CLIA Number25D2089641
Laboratory TypePhysician Office
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorA Gordon Lyons
Laboratory Phone(601) 200-4690
Laboratory LocationSt Dominic Pain Management Center970 Lakeland Drive Suite 45, Jackson, MS 39216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

RADIATION ONCOLOGY OF MISSISSIPPI PA
Radiology (Radiation Oncology)
970 LAKELAND DR, SUITE 34
JACKSON, MS 39216
Hinds County (601) 362-0600
MS. LYNN ANN VINCENT ACNP
Nurse Practitioner (Acute Care)
970 LAKELAND DR, SUITE 61
JACKSON, MS 39216
Hinds County (601) 982-7850
MAGNOLIA WOMAN'S CLINIC, P.A.
Obstetrics & Gynecology (Obstetrics)
970 LAKELAND DR, SUITE 43
JACKSON, MS 39216
Hinds County (601) 200-8201
DR. VERNON REID COTTEN JR. MD
Internal Medicine (Cardiovascular Disease)
970 LAKELAND DR, SUITE 61
JACKSON, MS 39216
Hinds County (601) 982-7850
ST DOMINIC MEDICAL ASSOCIATES LLC
Otolaryngology
970 LAKELAND DR, SUITE 40
JACKSON, MS 39216
Hinds County (601) 200-4850
ST DOMINIC AMBULATORY SURGERY CENTER L L C
Clinic/Center (Ambulatory Surgical)
970 LAKELAND DR, SUITE 15
JACKSON, MS 39216
Hinds County (601) 984-8800
JAMES CLAY HAYS SR. MD
Internal Medicine (Cardiovascular Disease)
970 LAKELAND DR, SUITE 61
JACKSON, MS 39216
Hinds County (601) 982-7850
MR. WILLIAM ARTHUR JONES MD
Internal Medicine (Cardiovascular Disease)
970 LAKELAND DR, SUITE 61
JACKSON, MS 39216
Hinds County (601) 982-7850

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 1124452859. It was assigned to this organization in the NPPES registry on August 29, 2013. The provider is doing business as St Dominic Pain Management Center.

Where is St Dominic Medical Associates LLC located?

St Dominic Medical Associates LLC is located at 970 Lakeland Dr Suite 45, Jackson, MS 39216. The listed phone number is (601) 200-4690.

What is St Dominic Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does St Dominic Medical Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2089641) is associated with this NPI, valid through January 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 February 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.