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ST DOMINIC'S GYNECOLOGIC ONCOLOGY
NPI 1346510559
Obstetrics & Gynecology - Gynecologic Oncology in Jackson, MS

Active since January 04, 2012CLIA 25D1022336 · Certificate of Compliance
971 LAKELAND DR, SUITE 750, JACKSON, MS 39216(601) 200-4970(601) 200-5943 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St Dominic's Gynecologic Oncology NPPES

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

ST DOMINIC'S GYNECOLOGIC ONCOLOGY (NPI 1346510559) is a healthcare organization registered as a gynecologic oncology in Jackson, Mississippi and active in the NPI registry since January 2012. The organization holds a CLIA Certificate of Compliance certificate valid through June 22, 2027 and lists Danielle Stuart, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1346510559
Entity TypeOrganization
Primary Taxonomy207VX0201X
Legal Business NameST DOMINIC MEDICAL ASSOCIATES
Location Address971 LAKELAND DR, SUITE 750Jackson, MS 39216-4643
Mailing AddressPo Box 23666Jackson, MS 39225-3666 · (601) 200-4749 · Fax (601) 200-5929
Phone(601) 200-4970
Fax(601) 200-5943
Organization SubpartYesParent: St Dominic Jackson Memorial Hospital
Authorized OfficialDanielle StuartCredentialing Specialist · (601) 200-4880
Enumeration DateJanuary 4, 2012
Last NPPES UpdateMarch 16, 2021
NPPES CertifiedMarch 16, 2021
✔ NPI 1346510559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
971 LAKELAND DR, Jackson, MS 39216
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Other Names 1

Doing Business AsSt Dominic's Gynecologic Oncology

Other Identifiers 1

Medicaid01652268MS

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 Molina Healthcare.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 Compliance 25D1022336

St Dominic's Gynecologic Oncology · Jackson, MS
Active · expires Jun 22, 2027
CLIA Number25D1022336
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorDr. D P. Seago
Laboratory Phone(601) 200-4970
Laboratory LocationSt Dominic's Gynecologic Oncology971 Lakeland Dr Ste 750, Jackson, MS 39216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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's NPI number?

The NPI number for St Dominic Medical Associates is 1346510559. It was assigned to this organization in the NPPES registry on January 4, 2012. The provider is doing business as St Dominic's Gynecologic Oncology.

Where is St Dominic Medical Associates located?

St Dominic Medical Associates is located at 971 Lakeland Dr Suite 750, Jackson, MS 39216. The listed phone number is (601) 200-4970.

What is St Dominic Medical Associates's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Does St Dominic Medical Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D1022336) is associated with this NPI, valid through June 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St Dominic Medical Associates accept?

Health plans from Molina Healthcare list St Dominic Medical Associates 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 was last updated on March 16, 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.