Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ST. DOMINIC MEDICAL ASSOCIATES LLC
Medicare Clinicians for NPI 1407920549
Family Medicine in Jackson, MS

Active since November 20, 2006
969 LAKELAND DR, JACKSON, MS 39216(601) 200-4749(601) 200-5929 Get Directions

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2026, Nov 18, 2021, Jan 12, 2017 (3 updates tracked since 2017).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

St. Dominic Medical Associates LLC in Jackson, MS bills Medicare for 136 clinicians across 20 Medicare specialties. The largest specialties are Nurse Practitioner with 58, Gastroenterology with 16 and Internal Medicine with 12. Of these, 121 practice within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

136Clinicians
20Medicare specialties
136PECOS enrolled
133Accept Medicare
136 clinicians in 20 specialties

Nurse Practitioner (58)

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
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
Nurse Practitioner
NPI 1093129231
971 LAKELAND DR SUITE 557
Jackson, MS 39216
(601) 200-4560
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1245474998
969 LAKELAND DR
Jackson, MS 39216
(601) 200-2280
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1558134130
971 LAKELAND DR STE 360
Jackson, MS 39216
(601) 200-4370
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1255563052
969 LAKELAND DR
Jackson, MS 39216
(601) 200-5354
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1114403268
969 LAKELAND DR
Jackson, MS 39216
(601) 200-2637
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1184574451
971 LAKELAND DR STE 657
Jackson, MS 39216
(601) 200-2780
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1124899372
971 LAKELAND DR STE 1250
Jackson, MS 39216
(601) 200-5955
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1811213853
971 LAKELAND DR STE 1250
Jackson, MS 39216
(601) 200-5955
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1972236719
969 LAKELAND DR
Jackson, MS 39216
(601) 200-3631
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1669056941
969 LAKELAND DR
Jackson, MS 39216
(601) 200-2637
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1710472758
971 LAKELAND DR STE 1250
Jackson, MS 39216
(601) 200-5955
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1194284430
971 LAKELAND DR STE 661
Jackson, MS 39216
(601) 200-2280
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1649736919
971 LAKELAND DR STE 250
Jackson, MS 39216
(601) 200-5864
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1689003873
971 LAKELAND DR SUITE 750
Jackson, MS 39216
(601) 200-5955
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1720275753
971 LAKELAND DR STE 557
Jackson, MS 39216
(601) 200-4560
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1770824476
971 LAKELAND DR STE 250
Jackson, MS 39216
(601) 200-5550
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1891253811
971 LAKELAND DR STE 954
Jackson, MS 39216
(601) 200-4714
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1104201649
971 LAKELAND DR STE 1250
Jackson, MS 39216
(601) 200-5955
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1376609990
971 LAKELAND DR STE 750
Jackson, MS 39216
(601) 200-4970
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1922486398
971 LAKELAND DR STE 250
Jackson, MS 39216
(601) 200-5550
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1356980817
971 LAKELAND DR STE 750
Jackson, MS 39216
(601) 200-4970
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1003415266
971 LAKELAND DR STE 557
Jackson, MS 39216
(601) 200-4560
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1962854323
971 LAKELAND DR STE 1250
Jackson, MS 39216
(601) 200-6688
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1932576998
971 LAKELAND DR SUITE 657
Jackson, MS 39216
(601) 200-5955
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1558097444
971 LAKELAND DR STE 557
Jackson, MS 39216
(601) 200-4560
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1427473172
971 LAKELAND DR STE 1250
Jackson, MS 39216
(601) 200-5955
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1477580819
971 LAKELAND DR STE 954
Jackson, MS 39216
(601) 200-4714
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1093888539
971 LAKELAND DR STE 1250
Jackson, MS 39216
(601) 200-2990
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1407207640
971 LAKELAND DR STE 750
Jackson, MS 39216
(601) 200-4970
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1700983285
2500 N STATE ST
Jackson, MS 39216
(601) 984-5571
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1477390599
1225 N STATE ST
Jackson, MS 39202
(601) 968-1031
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1902322787
5005 OLD CANTON RD
Jackson, MS 39211
(999) 999-9999
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1982122552
2510 LAKELAND DR
Flowood, MS 39232
(601) 355-1234
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1093260150
2510 LAKELAND DR
Flowood, MS 39232
(601) 355-1234
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1841698792
2510 LAKELAND DR
Flowood, MS 39232
(601) 355-1234
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1447017736
2510 LAKELAND DR
Flowood, MS 39232
(601) 355-1234
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1487433454
1050 RIVER OAKS DR STE 100
Flowood, MS 39232
(601) 200-4760
✔ PECOS✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1477057370
1050 RIVER OAKS DR STE 100
Flowood, MS 39232
(601) 200-4635
✔ PECOS✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1730743329
1050 RIVER OAKS DR STE 100
Flowood, MS 39232
(601) 200-4760
✔ PECOS✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1073905923
1050 RIVER OAKS DR STE 100
Flowood, MS 39232
(601) 200-4760
✔ PECOS✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1922614171
2412 MEADOW OAK
Flowood, MS 39232
(601) 986-1051
✔ PECOS✔ Accepts Medicare5.6 mi
Nurse Practitioner
NPI 1609864974
205A BELLE MEADE PT
Flowood, MS 39232
(601) 200-5678
✔ PECOS✔ Accepts Medicare6.6 mi
Nurse Practitioner
NPI 1679186407
205A BELLE MEADE PT
Flowood, MS 39232
(601) 200-5678
✔ PECOS✔ Accepts Medicare6.6 mi
Nurse Practitioner
NPI 1093316952
106 HIGHLAND WAY STE 203
Madison, MS 39110
(601) 200-3376
✔ PECOS✔ Accepts Medicare9.3 mi
Nurse Practitioner
NPI 1316752538
106 HIGHLAND WAY STE 103
Madison, MS 39110
(601) 200-4750
✔ PECOS✔ Accepts Medicare9.3 mi
Nurse Practitioner
NPI 1891100970
106 HIGHLAND WAY SUITE 103
Madison, MS 39110
(601) 200-4750
✔ PECOS✔ Accepts Medicare9.3 mi
Nurse Practitioner
NPI 1578300851
728 CLINTON PKWY STE B
Clinton, MS 39056
(601) 200-4800
✔ PECOS✔ Accepts Medicare9.5 mi
Nurse Practitioner
NPI 1568020675
1297 W GOVERNMENT ST
Brandon, MS 39042
(601) 200-4790
✔ PECOS✔ Accepts Medicare9.7 mi
Nurse Practitioner
NPI 1841665494
1297 W GOVERNMENT ST
Brandon, MS 39042
(601) 200-4790
✔ PECOS✔ Accepts Medicare9.7 mi
Nurse Practitioner
NPI 1609181882
1297 W GOVERNMENT ST
Brandon, MS 39042
(601) 200-4790
✔ PECOS✔ Accepts Medicare9.7 mi
Nurse Practitioner
NPI 1821292046
286 CALHOUN STATION PARKWAY
Madison, MS 39110
(601) 200-4321
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1508950502
610 SECOND ST
Pelahatchie, MS 39145
(601) 854-5044
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1588053052
1203 JEFFERSON ST
Laurel, MS 39440
(601) 649-2863
✔ PECOS✔ Accepts Medicare75 mi
Nurse Practitioner
NPI 1275973273
2647 S SAINT ELIZABETH BLVD STE 308
Gonzales, LA 70737
(225) 765-5500
✔ PECOS✔ Accepts Medicare153 mi

Gastroenterology (16)

Gastroenterology
NPI 1184612368
971 LAKELAND DR STE 250
Jackson, MS 39216
(601) 200-5550
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1356504682
2510 LAKELAND DR
Flowood, MS 39232
(601) 355-1234
✔ PECOS✔ Accepts Medicare2.6 mi
Gastroenterology
NPI 1194954578
2510 LAKELAND DR
Flowood, MS 39232
(601) 355-1234
✔ PECOS✔ Accepts Medicare2.6 mi
Gastroenterology
NPI 1760911598
2510 LAKELAND DR
Flowood, MS 39232
(601) 355-1234
✔ PECOS✔ Accepts Medicare2.6 mi
Gastroenterology
NPI 1265725758
2510 LAKELAND DR
Flowood, MS 39232
(601) 355-1234
✔ PECOS✔ Accepts Medicare2.6 mi
Gastroenterology
NPI 1942298120
2510 LAKELAND DR
Flowood, MS 39232
(601) 355-1234
✔ PECOS✔ Accepts Medicare2.6 mi
Gastroenterology
NPI 1093887259
2510 LAKELAND DR
Flowood, MS 39232
(601) 355-1234
✔ PECOS✔ Accepts Medicare2.6 mi
Gastroenterology
NPI 1245438860
2510 LAKELAND DR
Flowood, MS 39232
(601) 355-1234
✔ PECOS✔ Accepts Medicare2.6 mi
Gastroenterology
NPI 1356339782
2510 LAKELAND DR
Flowood, MS 39232
(601) 355-1234
✔ PECOS✔ Accepts Medicare2.6 mi
Gastroenterology
NPI 1679561948
2510 LAKELAND DR
Flowood, MS 39232
(601) 355-1234
✔ PECOS✔ Accepts Medicare2.6 mi
Gastroenterology
NPI 1215149711
2510 LAKELAND DR
Flowood, MS 39232
(601) 355-1234
✔ PECOS✔ Accepts Medicare2.6 mi
Gastroenterology
NPI 1447240494
2510 LAKELAND DR
Flowood, MS 39232
(601) 355-1234
✔ PECOS✔ Accepts Medicare2.6 mi
Gastroenterology
NPI 1578760534
2510 LAKELAND DR
Flowood, MS 39232
(601) 355-1234
✔ PECOS✔ Accepts Medicare2.6 mi
Gastroenterology
NPI 1134330822
2510 LAKELAND DR
Flowood, MS 39232
(601) 355-1234
✔ PECOS✔ Accepts Medicare2.6 mi
Gastroenterology
NPI 1881643088
348 CROSSGATES BLVD STE 1300
Brandon, MS 39042
(601) 825-5000
✔ PECOS✔ Accepts Medicare8.2 mi
Gastroenterology
NPI 1487974192
100 BAPTIST MEMORIAL CIR STE 204
Oxford, MS 38655
(662) 636-2451
✔ PECOS✔ Accepts Medicare144 mi

Internal Medicine (12)

Internal Medicine
NPI 1013273259
970 LAKELAND DR STE 49
Jackson, MS 39216
(601) 200-4850
✔ 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
Internal Medicine
NPI 1922106749
1050 RIVER OAKS DR STE 100
Flowood, MS 39232
(601) 200-4762
✔ PECOS✔ Accepts Medicare3.4 mi
Internal Medicine
NPI 1871791434
106 HIGHLAND WAY STE 200
Madison, MS 39110
(601) 200-4141
✔ PECOS✔ Accepts Medicare9.3 mi
Internal Medicine
NPI 1003841073
106 HIGHLAND WAY STE 200
Madison, MS 39110
(601) 200-4141
✔ PECOS✔ Accepts Medicare9.3 mi
Internal Medicine
NPI 1386716553
106 HIGHLAND WAY STE 200
Madison, MS 39110
(601) 200-4141
✔ PECOS✔ Accepts Medicare9.3 mi
Internal Medicine
NPI 1063584175
106 HIGHLAND WAY STE 200
Madison, MS 39110
(601) 200-4141
✔ PECOS✔ Accepts Medicare9.3 mi
Internal Medicine
NPI 1992446785
106 HIGHLAND WAY STE 200
Madison, MS 39110
(601) 200-4141
✔ PECOS✔ Accepts Medicare9.3 mi
Internal Medicine
NPI 1912430935
106 HIGHLAND WAY STE 200
Madison, MS 39110
(601) 200-4141
✔ PECOS✔ Accepts Medicare9.3 mi
Internal Medicine
NPI 1811194772
286 CALHOUN STATION PKWY
Madison, MS 39110
(601) 200-4321
✔ PECOS✔ Accepts Medicare13 mi
Internal Medicine
NPI 1114281680
286 CALHOUN STATION PKWY
Madison, MS 39110
(601) 200-4321
✔ PECOS✔ Accepts Medicare13 mi
Internal Medicine
NPI 1366888505
1250 E MARSHALL ST INTERNAL MEDICINE
Richmond, VA 23298
(804) 828-8786
✔ PECOS✔ Accepts Medicare806 mi

Family Practice (10)

Family Practice
NPI 1356493951
1050 RIVER OAKS DR STE 100
Flowood, MS 39232
(601) 200-4760
✔ PECOS✔ Accepts Medicare3.4 mi
Family Practice
NPI 1487755617
1050 RIVER OAKS DR STE 100
Flowood, MS 39232
(601) 200-4760
✔ PECOS✔ Accepts Medicare3.4 mi
Family Practice
NPI 1639396393
294 E LAYFAIR DR
Flowood, MS 39232
(601) 414-6520
✔ PECOS✔ Accepts Medicare3.6 mi
Family Practice
NPI 1093155376
215 KATHERINE DR STE A
Flowood, MS 39232
(601) 665-4162
✔ PECOS✔ Accepts Medicare4.1 mi
Family Practice
NPI 1932200151
205A BELLE MEADE PT
Flowood, MS 39232
(601) 200-5678
✔ PECOS✔ Accepts Medicare6.6 mi
Family Practice
NPI 1356442578
106 HIGHLAND WAY SUITE 103
Madison, MS 39110
(601) 200-4750
✔ PECOS✔ Accepts Medicare9.3 mi
Family Practice
NPI 1346943156
106 HIGHLAND WAY STE 103
Madison, MS 39110
(601) 200-4750
✔ PECOS✔ Accepts Medicare9.3 mi
Family Practice
NPI 1184778508
728 CLINTON PKWY STE B
Clinton, MS 39056
(601) 200-4800
✔ PECOS✔ Accepts Medicare9.5 mi
Family Practice
NPI 1366473464
1297 W GOVERNMENT ST
Brandon, MS 39042
(601) 200-4790
✔ PECOS✔ Accepts Medicare9.7 mi
Family Practice
NPI 1114667433
286 CALHOUN STATION PKWY
Gluckstadt, MS 39110
(601) 200-4321
✔ PECOS✔ Accepts Medicare59 mi

Neurology (7)

Neurology
NPI 1053494831
971 LAKELAND DRIVE SUITE 557
Jackson, MS 39216
(601) 200-4560
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1427442391
971 LAKELAND DR STE 557
Jackson, MS 39216
(601) 200-4560
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1730138843
971 LAKELAND DR SUITE 557
Jackson, MS 39216
(601) 200-4560
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1386784239
971 LAKELAND DR STE 557
Jackson, MS 39216
(601) 200-4560
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1295295681
971 LAKELAND DR STE 557
Jackson, MS 39216
(601) 200-4560
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1184810012
2500 N STATE ST
Jackson, MS 39216
(601) 984-5500
✔ PECOS✔ Accepts Medicare0.7 mi
Neurology
NPI 1801822317
1415 TULANE AVE HC82
New Orleans, LA 70112
(504) 988-5231
✔ PECOS✔ Accepts Medicare164 mi

Neurosurgery (5)

Neurosurgery
NPI 1013008242
971 LAKELAND DR STE 1250
Jackson, MS 39216
(601) 200-5955
✔ PECOS✔ Accepts Medicare0.1 mi
Neurosurgery
NPI 1598043143
971 LAKELAND DR STE 1250
Jackson, MS 39216
(601) 200-5955
✔ PECOS✔ Accepts Medicare0.1 mi
Neurosurgery
NPI 1518197151
971 LAKELAND DR STE 1250
Jackson, MS 39216
(601) 366-1011
✔ PECOS✔ Accepts Medicare0.1 mi
Neurosurgery
NPI 1427223619
1908 ROYAL AVE
Monroe, LA 71201
(318) 509-8808
✔ PECOS✔ Accepts Medicare114 mi
Neurosurgery
NPI 1447220264
800 S CHURCH ST STE 201
Jonesboro, AR 72401
(870) 934-1462
✔ PECOS✔ Accepts Medicare243 mi

Thoracic Surgery (5)

Thoracic Surgery
NPI 1114969011
971 LAKELAND DR STE 657
Jackson, MS 39216
(601) 200-2780
✔ PECOS✔ Accepts Medicare0.1 mi
Thoracic Surgery
NPI 1619327848
971 LAKELAND DR STE 220
Jackson, MS 39216
(601) 200-2780
✔ PECOS✔ Accepts Medicare0.1 mi
Thoracic Surgery
NPI 1275943037
971 LAKELAND DR STE 657
Jackson, MS 39216
(601) 200-2780
✔ PECOS✔ Accepts Medicare0.1 mi
Thoracic Surgery
NPI 1689725202
971 LAKELAND DR STE 657
Jackson, MS 39216
(601) 200-2780
✔ PECOS✔ Accepts Medicare0.1 mi
Thoracic Surgery
NPI 1073518577
12255 DE PAUL DR NORTH BLDG STE 260
Bridgeton, MO 63044
(314) 647-8269
✔ PECOS✔ Accepts Medicare443 mi

Vascular Surgery (4)

Vascular Surgery
NPI 1699062208
970 LAKELAND DR STE 43
Jackson, MS 39216
(601) 200-2990
✔ PECOS✔ Accepts Medicare0.1 mi
Vascular Surgery
NPI 1487778239
971 LAKELAND DR STE 1250
Jackson, MS 39216
(601) 200-2990
✔ PECOS✔ Accepts Medicare0.1 mi
Vascular Surgery
NPI 1871024489
971 LAKELAND DR STE 1250
Jackson, MS 39216
(601) 200-2000
✔ PECOS✔ Accepts Medicare0.1 mi
Vascular Surgery
NPI 1912297557
2500 N STATE ST
Jackson, MS 39216
(601) 815-2005
✔ PECOS✔ Accepts Medicare0.7 mi

General Surgery (3)

General Surgery
NPI 1043294432
971 LAKELAND DR STE 220
Jackson, MS 39216
(601) 200-2780
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1679692396
971 LAKELAND DR STE 211
Jackson, MS 39216
(601) 200-4350
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1952665325
971 LAKELAND DR STE 211
Jackson, MS 39216
(601) 200-4350
✔ PECOS✔ Accepts Medicare0.1 mi

Gynecological Oncology (2)

Gynecological Oncology
NPI 1194717363
971 LAKELAND DR STE 750
Jackson, MS 39216
(601) 987-3033
✔ PECOS✔ Accepts Medicare0.1 mi
Gynecological Oncology
NPI 1962639104
971 LAKELAND DR SUITE 750
Jackson, MS 39216
(601) 200-5955
✔ PECOS✔ Accepts Medicare0.1 mi

Infectious Disease (2)

Infectious Disease
NPI 1841223377
969 LAKELAND DR
Jackson, MS 39216
(601) 200-4714
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1689622318
971 LAKELAND DR STE 954
Jackson, MS 39216
(601) 200-4714
✔ PECOS0.1 mi

Psychiatry (2)

Psychiatry
NPI 1154686541
969 LAKELAND DR
Jackson, MS 39216
(601) 200-5790
✔ PECOS✔ Accepts Medicare0.1 mi
Psychiatry
NPI 1770760357
4579 S EASON BLVD
Tupelo, MS 38801
(662) 377-7590
✔ PECOS✔ Accepts Medicare155 mi

Pulmonary Disease (2)

Pulmonary Disease
NPI 1205323177
971 LAKELAND DR STE 1052
Jackson, MS 39216
(601) 981-9503
✔ PECOS✔ Accepts Medicare0.1 mi
Pulmonary Disease
NPI 1326489972
971 LAKELAND DR STE 1052
Jackson, MS 39216
(601) 981-9503
✔ PECOS✔ Accepts Medicare0.1 mi

Urology (2)

Urology
NPI 1255351367
971 LAKELAND DR SUITE 360
Jackson, MS 39216
(601) 200-4370
✔ PECOS✔ Accepts Medicare0.1 mi
Urology
NPI 1780604819
971 LAKELAND DR SUITE 360
Jackson, MS 39216
(601) 200-4370
✔ PECOS✔ Accepts Medicare0.1 mi

Cardiac Surgery (1)

Cardiac Surgery
NPI 1972743797
2500 NORTH STATE STREET
Jackson, MS 39216
(601) 984-5452
✔ PECOS✔ Accepts Medicare0.7 mi

Dermatology (1)

Dermatology
NPI 1982139184
2500 N STATE ST
Jackson, MS 39216
(601) 815-8000
✔ PECOS✔ Accepts Medicare0.7 mi

Emergency Medicine (1)

Emergency Medicine
NPI 1477677458
2080 S, FRONTAGE RD. SUITE100
Vicksburg, MS 39180
(601) 262-1000
✔ PECOS✔ Accepts Medicare41 mi

Hematology/Oncology (1)

Hematology/Oncology
NPI 1205831666
969 LAKELAND DR
Jackson, MS 39216
(601) 200-5900
✔ PECOS✔ Accepts MedicareSame address

Hospitalist (1)

Hospitalist
NPI 1235201302
969 LAKELAND DR
Jackson, MS 39216
(601) 200-4644
✔ PECOSSame address

Pediatric Medicine (1)

Pediatric Medicine
NPI 1962024778
205A BELLE MEADE PT
Flowood, MS 39232
(601) 200-5678
✔ PECOS✔ Accepts Medicare6.6 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to St. Dominic Medical Associates LLC appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.