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ST DOMINIC FAMILY PRACTICE BRANDON
NPI 1548698608
Family Medicine in Brandon, MS

Active since October 28, 2013CLIA 25D2068935 · Certificate of Compliance
1297 WEST GOVERNMENT STREET, BRANDON, MS 39042(601) 200-4790(601) 200-4855 Get Directions Write a Review

NPPES record last updated: December 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2016, Jun 17, 2016 (2 updates tracked since 2016).

About St Dominic Family Practice Brandon NPPES

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

ST DOMINIC FAMILY PRACTICE BRANDON (NPI 1548698608) is a healthcare organization registered as a family medicine in Brandon, Mississippi and active in the NPI registry since October 2013. The organization holds a CLIA Certificate of Compliance certificate valid through May 14, 2028 and lists Jennifer Sinclair, President Of Sdma, as its authorized official.

NPPES Registry Identity

NPI1548698608
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST DOMINIC MEDICAL ASSOCIATES LLC
Location Address1297 WEST GOVERNMENT STREETBrandon, MS 39042
Mailing AddressPo Box 23666Jackson, MS 39225-3666 · (601) 200-4749 · Fax (601) 200-5929
Phone(601) 200-4790
Fax(601) 200-4855
Organization SubpartYesParent: St Dominic Jackson Memorial Hospital
Authorized OfficialJennifer SinclairPresident Of Sdma · (601) 200-2000
Enumeration DateOctober 28, 2013
Last NPPES UpdateDecember 30, 20162 updates tracked since enumeration
✔ NPI 1548698608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 18818
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1297 WEST GOVERNMENT STREET, Brandon, MS 39042
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Other Names 1

Doing Business AsSt Dominic Family Practice Brandon

Other Identifiers 2

Medicaid02751790MS
Medicare PIN302G700675MS

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 Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 25D2068935

St Dominic's Family Medicine - Brandon · Brandon, MS
Active · expires May 14, 2028
CLIA Number25D2068935
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorMarc C. Hellrung
Laboratory Phone(601) 200-4765
Laboratory LocationSt Dominic's Family Medicine - Brandon1297 West Government Street, Brandon, MS 39042
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 1548698608. It was assigned to this organization in the NPPES registry on October 28, 2013. The provider is doing business as St Dominic Family Practice Brandon.

Where is St Dominic Medical Associates LLC located?

St Dominic Medical Associates LLC is located at 1297 West Government Street, Brandon, MS 39042. The listed phone number is (601) 200-4790.

What is St Dominic Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does St Dominic Medical Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D2068935) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St Dominic Medical Associates LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, 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 December 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.