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ST DOMINIC NEUROSCIENCE CENTER
NPI 1215350152
Psychiatry & Neurology - Neurology in Jackson, MS

Active since January 29, 2014
971 LAKELAND DR, SUITE 557, JACKSON, MS 39216(601) 200-4560(601) 200-4850 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2019, Jun 17, 2016 (2 updates tracked since 2016).

About St Dominic Neuroscience Center NPPES

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

ST DOMINIC NEUROSCIENCE CENTER (NPI 1215350152) is a healthcare organization registered as a neurology in Jackson, Mississippi and active in the NPI registry since January 2014. The organization maintains 5 additional practice locations and lists Danielle Stuart, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1215350152
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameST DOMINIC MEDICAL ASSOCIATES LLC
Location Address971 LAKELAND DR, SUITE 557Jackson, MS 39216-4643
Mailing AddressPo Box 23666Jackson, MS 39225-3666 · (601) 200-4560 · Fax (601) 200-4580
Phone(601) 200-4560
Fax(601) 200-4850
Organization SubpartYesParent: St Dominic Jackson Memorial Hospital
Authorized OfficialDanielle StuartCredentialing Specialist · (601) 200-4880
Enumeration DateJanuary 29, 2014
Last NPPES UpdateOctober 28, 20192 updates tracked since enumeration
✔ NPI 1215350152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MS · 21151
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.
971 LAKELAND DR, Jackson, MS 39216
Open in Google Maps ↗

Other Names 1

Doing Business AsSt Dominic Neuroscience Center

Secondary Practice Locations 5

Location 11014 Big Lane DrBrookhaven, MS 39601-2331 · Phone (601) 200-4560 · Fax (601) 200-4580
Location 2810 E Sunflower Rd Ste 100JCleveland, MS 38732-2828 · Phone (601) 200-4560 · Fax (601) 200-4580
Location 34204 Clay StVicksburg, MS 39183-3438 · Phone (601) 200-4560 · Fax (601) 200-4580
Location 4360 Simpson Highway 149 Ste 370Magee, MS 39111-3843 · Phone (601) 200-4560 · Fax (601) 200-4580
Location 5332 Highway 12 WKosciusko, MS 39090-3209 · Phone (601) 200-4560 · Fax (601) 200-4580

Other Identifiers 1

Medicaid07430597MS

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 20

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

BEN W. SEALE, M.D., PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
971 LAKELAND DR, SUITE 450
JACKSON, MS 39216
Hinds County (601) 948-5158
EDWIN P SUDDUTH M.D.
Anesthesiology
971 LAKELAND DR, SUITE 202
JACKSON, MS 39216
Hinds County (601) 362-1990
JACKSON GYNECOLOGIC ONCOLOGY PLLC
Obstetrics & Gynecology (Gynecology)
971 LAKELAND DR, STE 750
JACKSON, MS 39216
Hinds County (601) 987-3033
D TIMOTHY CANNON M.D.
Specialist
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Hinds County (601) 981-9503
JAMIE DOUGLAS MCCOLLUM M.D.
Anesthesiology
971 LAKELAND DR, SUIITE 202
JACKSON, MS 39216
Hinds County (601) 362-1990
DAVID WESTBROOK M.D.
Specialist
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Hinds County (601) 981-9503
MS. JACQUELINE M. ROBINSON MS, CCC-A; F/AAA
Audiologist
971 LAKELAND DR, SUITE 854
JACKSON, MS 39216
Hinds County (601) 981-2825
MRS. KRISTIE CALLAHAN FNP-C
Nurse Practitioner (Family)
971 LAKELAND DR, SUITE 557
JACKSON, MS 39216
Hinds County (601) 200-4560

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 1215350152. It was assigned to this organization in the NPPES registry on January 29, 2014. The provider is doing business as St Dominic Neuroscience Center.

Where is St Dominic Medical Associates LLC located?

St Dominic Medical Associates LLC is located at 971 Lakeland Dr Suite 557, Jackson, MS 39216. The listed phone number is (601) 200-4560.

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.

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 October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.