ST. DOMINIC DERMATOLOGY
NPI 1326646845
Dermatology in Madison, MS

Active since October 16, 2020
106 HIGHLAND WAY STE 208, MADISON, MS 39110(601) 200-3376(601) 200-4475 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 26, 2021, Mar 24, 2021, Oct 16, 2020 (3 updates tracked since 2020).

About St. Dominic Dermatology NPPES

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

ST. DOMINIC DERMATOLOGY (NPI 1326646845) is a healthcare organization registered as a dermatology in Madison, Mississippi and active in the NPI registry since October 2020. The organization lists Danielle Stuart, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1326646845
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameST. DOMINIC MEDICAL ASSOCIATES, LLC
Location Address106 HIGHLAND WAY STE 208Madison, MS 39110-6929
Mailing AddressPo Box 23666Jackson, MS 39225-3666 · (601) 200-3376 · Fax (601) 200-4475
Fax(601) 200-4475
Organization SubpartYesParent: St. Dominic-jackson Memorial Hospital
Authorized OfficialDanielle StuartCredentialing Specialist · (601) 200-4880
Enumeration DateOctober 16, 2020
Last NPPES UpdateMay 26, 20213 updates tracked since enumeration
NPPES CertifiedMay 26, 2021
✔ NPI 1326646845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
106 HIGHLAND WAY STE 208, Madison, MS 39110

Other Names 1

Doing Business AsSt. Dominic Dermatology

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

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 Dermatology 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 Dermatology, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 116 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
Internal Medicine
NPI 1912430935
106 HIGHLAND WAY STE 200
Madison, MS 39110
(601) 200-4141
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1346943156
106 HIGHLAND WAY STE 103
Madison, MS 39110
(601) 200-4750
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1992446785
106 HIGHLAND WAY STE 200
Madison, MS 39110
(601) 200-4141
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1891100970
106 HIGHLAND WAY SUITE 103
Madison, MS 39110
(601) 200-4750
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1871791434
106 HIGHLAND WAY STE 200
Madison, MS 39110
(601) 200-4141
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1003841073
106 HIGHLAND WAY STE 200
Madison, MS 39110
(601) 200-4141
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1386716553
106 HIGHLAND WAY STE 200
Madison, MS 39110
(601) 200-4141
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1063584175
106 HIGHLAND WAY STE 200
Madison, MS 39110
(601) 200-4141
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1093316952
106 HIGHLAND WAY STE 203
Madison, MS 39110
(601) 200-3376
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1316752538
106 HIGHLAND WAY STE 103
Madison, MS 39110
(601) 200-4750
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1356442578
106 HIGHLAND WAY SUITE 103
Madison, MS 39110
(601) 200-4750
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1811194772
286 CALHOUN STATION PKWY
Madison, MS 39110
(601) 200-4321
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1821292046
286 CALHOUN STATION PARKWAY
Madison, MS 39110
(601) 200-4321
✔ PECOS✔ Accepts Medicare3.7 mi
Internal Medicine
NPI 1114281680
286 CALHOUN STATION PKWY
Madison, MS 39110
(601) 200-4321
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1902322787
5005 OLD CANTON RD
Jackson, MS 39211
(999) 999-9999
✔ PECOS✔ Accepts Medicare6.9 mi
Vascular Surgery
NPI 1699062208
970 LAKELAND DR STE 43
Jackson, MS 39216
(601) 200-2990
✔ PECOS✔ Accepts Medicare9.2 mi
Internal Medicine
NPI 1013273259
970 LAKELAND DR STE 49
Jackson, MS 39216
(601) 200-4850
✔ PECOS✔ Accepts Medicare9.2 mi
Neurosurgery
NPI 1013008242
971 LAKELAND DR STE 1250
Jackson, MS 39216
(601) 200-5955
✔ PECOS✔ Accepts Medicare9.2 mi
Thoracic Surgery
NPI 1275943037
971 LAKELAND DR STE 657
Jackson, MS 39216
(601) 200-2780
✔ PECOS✔ Accepts Medicare9.3 mi
Urology
NPI 1255351367
971 LAKELAND DR SUITE 360
Jackson, MS 39216
(601) 200-4370
✔ PECOS✔ Accepts Medicare9.3 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 1326646845. It was assigned to this organization in the NPPES registry on October 16, 2020. The provider is doing business as St. Dominic Dermatology.

Where is St. Dominic Medical Associates, LLC located?

St. Dominic Medical Associates, LLC is located at 106 Highland Way Ste 208, Madison, MS 39110. The listed phone number is (601) 200-3376.

What is St. Dominic Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

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, 3 practice at this address and 116 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 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 May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.