ST DOMINIC'S GYNECOLOGIC ONCOLOGY
NPI 1346510559
Obstetrics & Gynecology - Gynecologic Oncology in Jackson, MS
NPI Status: Active since January 04, 2012
Contact Information
971 LAKELAND DR
SUITE 750
JACKSON, MS
ZIP 39216
Phone: (601) 200-4970
Fax: (601) 200-5943
- Organization
- Obstetrics & Gynecology
- Gynecologic Oncology
- Accepts Insurance
- CLIA Number: 25D1022336
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-22-2027
About ST DOMINIC'S GYNECOLOGIC ONCOLOGY
This page provides the complete NPI Profile along with additional information for St Dominic's Gynecologic Oncology, a women's health care provider established in Jackson, Mississippi operating as a Obstetrics & Gynecology, focusing in gynecologic oncology . The healthcare provider is registered in the NPI registry with number 1346510559 assigned on January 2012. The practitioner's primary taxonomy code is 207VX0201X. The provider is registered as an organization and their NPI record was last updated 5 years ago. St Dominic's Gynecologic Oncology operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as St Dominic's Gynecologic Oncology. The authorized official of this NPI record is Danielle Stuart (Credentialing Specialist)
- NPI
- 1346510559
- Provider Legal Name
- ST DOMINIC MEDICAL ASSOCIATES
- Other Organization Name
- ST DOMINIC'S GYNECOLOGIC ONCOLOGY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 971 LAKELAND DR SUITE 750 JACKSON, MS 39216
- Location Phone
- (601) 200-4970
- Location Fax
- (601) 200-5943
- Mailing Address
- PO BOX 23666 JACKSON, MS 39225
- Mailing Phone
- (601) 200-4749
- Mailing Fax
- (601) 200-5943
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-04-2012
- Last Update Date
- 03-16-2021
- Code Navigator
Women's health care providers like St Dominic's Gynecologic Oncology treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology Gynecologic Oncology
- Taxonomy Code
- 207VX0201X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Standard - HMO
- Molina Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01652268 | MEDICAID (05) | MS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D1022336
- Facility Type
- Physician Office
- Certificate Effective Date
- June 23, 2025
- Certificate Expiration Date
- June 22, 2027
- Laboratory Director
- DR. D P. SEAGO
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to St Dominic's Gynecologic Oncology after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1346510559, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346510559, enumerated as an "organization" on January 04, 2012.
The provider is located at 971 LAKELAND DR SUITE 750 JACKSON, MS 39216 and the phone number is (601) 200-4970.
Obstetrics & Gynecology with taxonomy code 207VX0201X and a focus in Gynecologic Oncology.
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
