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ST DOMINIC AMBULATORY SURGERY CENTER L L C
NPI 1255303517
Clinic/Center - Ambulatory Surgical in Jackson, MS

Active since February 02, 2006CLIA 25D1035824 · Waiver
970 LAKELAND DR, SUITE 15, JACKSON, MS 39216(601) 984-8800(601) 321-8670 Get Directions Write a Review

NPPES record last updated: June 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Dominic Ambulatory Surgery Center L L C NPPES

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

ST DOMINIC AMBULATORY SURGERY CENTER L L C (NPI 1255303517) is a healthcare organization registered as an ambulatory surgical in Jackson, Mississippi and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Richard Yelverton, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1255303517
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameST DOMINIC AMBULATORY SURGERY CENTER L L C
Location Address970 LAKELAND DR, SUITE 15Jackson, MS 39216-4601
Mailing Address970 Lakeland Dr., Suite 15Jakcson, MS 39216 · (601) 984-8800 · Fax (601) 321-8670
Phone(601) 984-8800
Fax(601) 321-8670
Organization SubpartNo
Authorized OfficialRichard YelvertonMedical Director · (601) 984-8800
Enumeration DateFebruary 2, 2006
Last NPPES UpdateJune 16, 2010
✔ NPI 1255303517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in MS · 011
970 LAKELAND DR, Jackson, MS 39216
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN490000016MS
Medicaid0770362MS

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 25D1035824

St Dominic Ambulatory Surgery Center · Jackson, MS
Active · expires Jan 11, 2027
CLIA Number25D1035824
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorAmy Robertson
Laboratory Phone(601) 984-8800
Laboratory LocationSt Dominic Ambulatory Surgery Center970 Lakeland Dr, Suite 15, 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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
227 services130 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
183 services123 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
119 services85 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
74 services62 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
71 services24 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
39 services22 patients

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
ST DOMINIC MEDICAL ASSOCIATES LLC
Pain Medicine (Interventional Pain Medicine)
970 LAKELAND DR, SUITE 45
JACKSON, MS 39216
Hinds County (601) 200-4690
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
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 Ambulatory Surgery Center L L C's NPI number?

The NPI number for St Dominic Ambulatory Surgery Center L L C is 1255303517. It was assigned to this organization in the NPPES registry on February 2, 2006.

Where is St Dominic Ambulatory Surgery Center L L C located?

St Dominic Ambulatory Surgery Center L L C is located at 970 Lakeland Dr Suite 15, Jackson, MS 39216. The listed phone number is (601) 984-8800.

What is St Dominic Ambulatory Surgery Center L L C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does St Dominic Ambulatory Surgery Center L L C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1035824) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St Dominic Ambulatory Surgery Center L L C 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 3 other insurers list St Dominic Ambulatory Surgery Center L L C 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 Ambulatory Surgery Center L L C was last updated on June 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.