ST. DOMINIC HOSPITAL MEDICINE
NPI 1285987578
Hospitalist in Jackson, MS

Active since October 24, 2012
969 LAKELAND DR, JACKSON, MS 39216(601) 200-5900(601) 200-0204 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2021, Dec 7, 2020, Aug 28, 2018 and 1 more (4 updates tracked since 2016).

About St. Dominic Hospital Medicine NPPES

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

ST. DOMINIC HOSPITAL MEDICINE (NPI 1285987578) is a healthcare organization registered as a hospitalist in Jackson, Mississippi and active in the NPI registry since October 2012. The organization lists Danielle Stuart, Credentialing Representative 2, as its authorized official.

NPPES Registry Identity

NPI1285987578
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NameST DOMINIC MEDICAL ASSOCIATES LLC
Location Address969 LAKELAND DRJackson, MS 39216
Mailing AddressPo Box 23666Jackson, MS 39225-3666 · (601) 200-4644 · Fax (601) 200-4645
Fax(601) 200-0204
Organization SubpartYesParent: St Dominic Jackson Memorial Hospital
Authorized OfficialDanielle StuartCredentialing Representative 2 · (601) 200-4880
Enumeration DateOctober 24, 2012
Last NPPES UpdateMarch 21, 20224 updates tracked since enumeration
NPPES CertifiedMarch 21, 2022
✔ NPI 1285987578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
969 LAKELAND DR, Jackson, MS 39216

Other Names 2

Doing Business AsSt. Dominic Hospital Medicine
Doing Business AsSt Dominic Pallative Care

Other Identifiers 1

Medicaid02055703MS

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St. Dominic Hospital Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

136

Medicare enrollment records show 136 clinicians reassign Medicare billing to St. Dominic Hospital Medicine, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 121 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Nurse Practitioner58
Gastroenterology16
Internal Medicine12
Family Practice10
Neurology7
Neurosurgery5
Thoracic Surgery5
Vascular Surgery4
12 other specialties19

Nearest to this location (20)

See all 136
Nurse Practitioner
NPI 1053993865
969 LAKELAND DR
Jackson, MS 39216
(601) 200-5900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821376690
969 LAKELAND DR
Jackson, MS 39216
(601) 200-6712
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1841223377
969 LAKELAND DR
Jackson, MS 39216
(601) 200-4714
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1235201302
969 LAKELAND DR
Jackson, MS 39216
(601) 200-4644
✔ PECOSSame address
Hematology/Oncology
NPI 1205831666
969 LAKELAND DR
Jackson, MS 39216
(601) 200-5900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215422480
969 LAKELAND DR
Jackson, MS 39216
(601) 200-2280
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134523830
969 LAKELAND DRIVE ST. DOMINIC PALLIATIVE CARE
Jackson, MS 39216
(601) 200-5900
✔ PECOS✔ Accepts MedicareSame address
Thoracic Surgery
NPI 1114969011
971 LAKELAND DR STE 657
Jackson, MS 39216
(601) 200-2780
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1245474998
969 LAKELAND DR
Jackson, MS 39216
(601) 200-2280
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1043294432
971 LAKELAND DR STE 220
Jackson, MS 39216
(601) 200-2780
✔ PECOS✔ Accepts Medicare0.1 mi
Pulmonary Disease
NPI 1205323177
971 LAKELAND DR STE 1052
Jackson, MS 39216
(601) 981-9503
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1275820847
971 LAKELAND DR STE 1052
Jackson, MS 39216
(601) 981-9503
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1053494831
971 LAKELAND DRIVE SUITE 557
Jackson, MS 39216
(601) 200-4560
✔ PECOS✔ Accepts Medicare0.1 mi
Psychiatry
NPI 1154686541
969 LAKELAND DR
Jackson, MS 39216
(601) 200-5790
✔ PECOS✔ Accepts Medicare0.1 mi
Neurosurgery
NPI 1013008242
971 LAKELAND DR STE 1250
Jackson, MS 39216
(601) 200-5955
✔ PECOS✔ Accepts Medicare0.1 mi
Vascular Surgery
NPI 1699062208
970 LAKELAND DR STE 43
Jackson, MS 39216
(601) 200-2990
✔ PECOS✔ Accepts Medicare0.1 mi
Urology
NPI 1255351367
971 LAKELAND DR SUITE 360
Jackson, MS 39216
(601) 200-4370
✔ PECOS✔ Accepts Medicare0.1 mi
Infectious Disease
NPI 1689622318
971 LAKELAND DR STE 954
Jackson, MS 39216
(601) 200-4714
✔ PECOS0.1 mi
Gynecological Oncology
NPI 1194717363
971 LAKELAND DR STE 750
Jackson, MS 39216
(601) 987-3033
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1184612368
971 LAKELAND DR STE 250
Jackson, MS 39216
(601) 200-5550
✔ PECOS✔ Accepts Medicare0.1 mi
See all 136 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1285987578. It was assigned to this organization in the NPPES registry on October 24, 2012. The provider is doing business as St. Dominic Hospital Medicine and St Dominic Pallative Care.

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) 200-5900.

What is St Dominic Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is St Dominic Medical Associates LLC enrolled in Medicare?

Yes. St Dominic Medical Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Dominic Medical Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 136 clinicians in 20 Medicare specialties reassign their Medicare billing to St Dominic Medical Associates LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (58), Gastroenterology (16) and Internal Medicine (12). Of these, 7 practice at this address and 121 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St Dominic Medical Associates LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers 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 March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.