ST DOMINIC UROLOGY
NPI 1689063067
Urology in Jackson, MS

Q: What is St Dominic Medical Associates LLC's NPI number?

The NPI number for St Dominic Medical Associates LLC is 1689063067. It was assigned to this organization in the NPPES registry on January 22, 2015. The provider is doing business as St Dominic Urology.

Q: What is St Dominic Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since January 22, 2015

971 LAKELAND DR, SUITE 360, JACKSON, MS 39216(601) 200-4370(601) 200-4375 Get Directions Write a Review

NPPES record last updated: June 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About St Dominic Urology NPPES

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

ST DOMINIC UROLOGY (NPI 1689063067) is a healthcare organization registered as an urology in Jackson, Mississippi and active in the NPI registry since January 2015. The organization lists Jennifer Sinclair, President Of Sdma, as its authorized official.

NPPES Registry Identity

NPI1689063067

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameST DOMINIC MEDICAL ASSOCIATES LLC

Location Address971 LAKELAND DR, SUITE 360Jackson, MS 39216-4643

Mailing AddressPo Box 23666Jackson, MS 39225-3666 · (601) 200-4749 · Fax (601) 200-5929

Phone(601) 200-4370

Fax(601) 200-4375

Organization SubpartYesParent: St Dominic Jackson Memorial Hospital

Authorized OfficialJennifer SinclairPresident Of Sdma · (601) 200-6955

Enumeration DateJanuary 22, 2015

Last NPPES UpdateJune 17, 2016

✔ NPI 1689063067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in MS · 13524✔ Licensed in MS · 09524✔ Licensed in MS · 11495

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

971 LAKELAND DR, Jackson, MS 39216

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Other Names 1

Doing Business AsSt Dominic Urology

Other Identifiers 2

Medicaid06782543MS

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 ›

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 LLC's NPI number?

The NPI number for St Dominic Medical Associates LLC is 1689063067. It was assigned to this organization in the NPPES registry on January 22, 2015. The provider is doing business as St Dominic Urology.

Where is St Dominic Medical Associates LLC located?

St Dominic Medical Associates LLC is located at 971 Lakeland Dr Suite 360, Jackson, MS 39216. The listed phone number is (601) 200-4370.

What is St Dominic Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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 June 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.