ST DOMINIC FAMILY PRACTICE ASSOCIATES MADISON
NPI 1245393255
Family Medicine in Madison, MS

Active since December 19, 2006
106 HIGHLAND WAY, SUITE 103, MADISON, MS 39110(601) 200-4750(601) 200-4740 Get Directions Write a Review

NPPES record last updated: August 31, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St Dominic Family Practice Associates Madison NPPES

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

ST DOMINIC FAMILY PRACTICE ASSOCIATES MADISON (NPI 1245393255) is a healthcare organization registered as a family medicine in Madison, Mississippi and active in the NPI registry since December 2006. The organization maintains a secondary practice location in Madison and lists Danielle Stuart, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1245393255
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST. DOMINIC MEDICAL ASSOCIATES LLC
Location Address106 HIGHLAND WAY, SUITE 103Madison, MS 39110-6929
Mailing AddressPo Box 23666Jackson, MS 39225-3666 · (601) 200-4749 · Fax (601) 200-5929
Fax(601) 200-4740
Organization SubpartNo
Authorized OfficialDanielle StuartCredentialing Specialist · (601) 200-4880
Enumeration DateDecember 19, 2006
Last NPPES UpdateAugust 31, 2018
NPI 1245393255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.

106 HIGHLAND WAY, Madison, MS 39110

Other Names 2

Doing Business AsSt Dominic Family Practice Associates Madison
Doing Business AsSt Dominic Family Practice Associates Gluckstadt

Secondary Practice Location 1

Location 1286 Calhoun Station ParkwayMadison, MS 39110 · Phone (601) 200-4321

Other Identifiers 1

Medicaid00975207MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 14

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

Family Medicine
106 HIGHLAND WAY, SUITE 103
MADISON, MS 39110
Clinic/Center (Ambulatory Surgical)
106 HIGHLAND WAY
MADISON, MS 39110
Obstetrics & Gynecology (Gynecologic Oncology)
106 HIGHLAND WAY, STE 200
MADISON, MS 39110
Family Medicine
106 HIGHLAND WAY, SUITE 103
MADISON, MS 39110
Internal Medicine (Rheumatology)
106 HIGHLAND WAY, SUITE 202
MADISON, MS 39110
Physical Therapist
106 HIGHLAND WAY, SUITE 201
MADISON, MS 39110
Radiology (Diagnostic Radiology)
106 HIGHLAND WAY, SUITE 100
MADISON, MS 39110
Clinic/Center (Ambulatory Surgical)
106 HIGHLAND WAY
MADISON, MS 39110

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 1245393255. It was assigned to this organization in the NPPES registry on December 19, 2006. The provider is doing business as St Dominic Family Practice Associates Madison and St Dominic Family Practice Associates Gluckstadt.

Where is St. Dominic Medical Associates LLC located?

St. Dominic Medical Associates LLC is located at 106 Highland Way Suite 103, Madison, MS 39110. The listed phone number is (601) 200-4750.

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 August 31, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.