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CARDIOVASCULAR SURGERY ASSOCIATES
NPI 1831342054
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Jackson, MS

Active since October 31, 2008
970 LAKELAND DR STE 61, JACKSON, MS 39216(601) 200-2780(601) 200-2788 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2021, Oct 28, 2019, Aug 15, 2019 and 1 more (4 updates tracked since 2019).

About Cardiovascular Surgery Associates NPPES

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

CARDIOVASCULAR SURGERY ASSOCIATES (NPI 1831342054) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Jackson, Mississippi and active in the NPI registry since October 2008. The organization maintains 6 additional practice locations and lists Danielle Stuart, Credentialing Representative 2, as its authorized official.

NPPES Registry Identity

NPI1831342054
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameST DOMINIC MEDICAL ASSOCIATES LLC
Location Address970 LAKELAND DR STE 61Jackson, MS 39216-4634
Mailing AddressPo Box 23666Jackson, MS 39225-3666 · (601) 200-2780 · Fax (601) 200-2788
Phone(601) 200-2780
Fax(601) 200-2788
Organization SubpartYesParent: St. Dominic Jackson Memorial Hospital
Authorized OfficialDanielle StuartCredentialing Representative 2 · (601) 200-4880
Enumeration DateOctober 31, 2008
Last NPPES UpdateJune 16, 20214 updates tracked since enumeration
NPPES CertifiedJune 16, 2021
✔ NPI 1831342054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
970 LAKELAND DR STE 61, Jackson, MS 39216
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Other Names 1

Doing Business AsCardiovascular Surgery Associates

Secondary Practice Locations 6

Location 1971 Lakeland Dr Ste 657Jackson, MS 39216-4608 · Phone (601) 200-2990 · Fax (601) 200-5939
Location 2610 Second StPelahatchie, MS 39145-3135 · Phone (601) 854-5044 · Fax (601) 854-8448
Location 3360 Simpson Highway 149 Ste 370Magee, MS 39111-3843 · Phone (601) 200-2780 · Fax (601) 200-2788
Location 4332 Highway 12 WKosciusko, MS 39090-3209 · Phone (601) 200-2780 · Fax (601) 200-2788
Location 54204 Clay StVicksburg, MS 39183-3438 · Phone (601) 200-2780 · Fax (601) 200-2788
Location 6810 E Sunflower Rd Ste 100JCleveland, MS 38732-2828 · Phone (601) 200-2780 · Fax (601) 200-2788

Other Identifiers 1

Medicaid00978789MS

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 Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cardiovascular Surgery Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

136

Medicare enrollment records show 136 clinicians reassign Medicare billing to Cardiovascular Surgery Associates, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 121 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Nurse Practitioner58
Gastroenterology16
Internal Medicine12
Family Practice10
Neurology7
Neurosurgery5
Thoracic Surgery5
Vascular Surgery4
12 other specialties19

Nearest to this location (20)

See all 136
Jennifer Dinning, M.D.
Vascular Surgery
NPI 1699062208
970 LAKELAND DR STE 43
Jackson, MS 39216
(601) 200-2990
✔ PECOS✔ Accepts MedicareSame address
Samuel Love, M.D.
Internal Medicine
NPI 1013273259
970 LAKELAND DR STE 49
Jackson, MS 39216
(601) 200-4850
✔ PECOS✔ Accepts MedicareSame address
Kristie Callahan, FNP-C
Nurse Practitioner
NPI 1093129231
971 LAKELAND DR SUITE 557
Jackson, MS 39216
(601) 200-4560
✔ PECOS✔ Accepts Medicare0.1 mi
John Lancon, M.D.
Neurosurgery
NPI 1013008242
971 LAKELAND DR STE 1250
Jackson, MS 39216
(601) 200-5955
✔ PECOS✔ Accepts Medicare0.1 mi
Zachary Baldwin, M.D.
Vascular Surgery
NPI 1487778239
971 LAKELAND DR STE 1250
Jackson, MS 39216
(601) 200-2990
✔ PECOS✔ Accepts Medicare0.1 mi
Sarah Beasley, NP
Nurse Practitioner
NPI 1689003873
971 LAKELAND DR SUITE 750
Jackson, MS 39216
(601) 200-5955
✔ PECOS0.1 mi
John Calhoun, MD
Thoracic Surgery
NPI 1275943037
971 LAKELAND DR STE 657
Jackson, MS 39216
(601) 200-2780
✔ PECOS✔ Accepts Medicare0.1 mi
Ronald Davis, M.D.
Urology
NPI 1255351367
971 LAKELAND DR SUITE 360
Jackson, MS 39216
(601) 200-4370
✔ PECOS✔ Accepts Medicare0.1 mi
Ruth Fredericks, M.D.
Neurology
NPI 1730138843
971 LAKELAND DR SUITE 557
Jackson, MS 39216
(601) 200-4560
✔ PECOS✔ Accepts Medicare0.1 mi
Reginald Martin, M.D.
General Surgery
NPI 1679692396
971 LAKELAND DR STE 211
Jackson, MS 39216
(601) 200-4350
✔ PECOS✔ Accepts Medicare0.1 mi
Anne Mcpherson, M.D
Infectious Disease
NPI 1689622318
971 LAKELAND DR STE 954
Jackson, MS 39216
(601) 200-4714
✔ PECOS0.1 mi
Donald Seago, MD
Gynecological Oncology
NPI 1194717363
971 LAKELAND DR STE 750
Jackson, MS 39216
(601) 987-3033
✔ PECOS✔ Accepts Medicare0.1 mi
Mark Wilson, MD
Gastroenterology
NPI 1184612368
971 LAKELAND DR STE 250
Jackson, MS 39216
(601) 200-5550
✔ PECOS✔ Accepts Medicare0.1 mi
Teri Dyess, M.D.
Hospitalist
NPI 1235201302
969 LAKELAND DR
Jackson, MS 39216
(601) 200-4644
✔ PECOS0.1 mi
Bobby Graham, M.D.
Hematology/Oncology
NPI 1205831666
969 LAKELAND DR
Jackson, MS 39216
(601) 200-5900
✔ PECOS✔ Accepts Medicare0.1 mi
William Fuller, MD
Pulmonary Disease
NPI 1205323177
971 LAKELAND DR STE 1052
Jackson, MS 39216
(601) 981-9503
✔ PECOS✔ Accepts Medicare0.2 mi
Brandon Garriga, M.D.
Internal Medicine
NPI 1275820847
971 LAKELAND DR STE 1052
Jackson, MS 39216
(601) 981-9503
✔ PECOS✔ Accepts Medicare0.2 mi
Jared Taylor, M.D.
Psychiatry
NPI 1154686541
969 LAKELAND DR
Jackson, MS 39216
(601) 200-5790
✔ PECOS✔ Accepts Medicare0.2 mi
Jacob Moremen, M.D.
Cardiac Surgery
NPI 1972743797
2500 NORTH STATE STREET
Jackson, MS 39216
(601) 984-5452
✔ PECOS✔ Accepts Medicare0.7 mi
Caitlyn Reed, MD
Dermatology
NPI 1982139184
2500 N STATE ST
Jackson, MS 39216
(601) 815-8000
✔ PECOS✔ Accepts Medicare0.7 mi
See all 136 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1831342054. It was assigned to this organization in the NPPES registry on October 31, 2008. The provider is doing business as Cardiovascular Surgery Associates.

Where is St Dominic Medical Associates LLC located?

St Dominic Medical Associates LLC is located at 970 Lakeland Dr Ste 61, Jackson, MS 39216. The listed phone number is (601) 200-2780.

What is St Dominic Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is St Dominic Medical Associates LLC enrolled in Medicare?

Yes. St Dominic Medical Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Dominic Medical Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 136 clinicians in 20 Medicare specialties reassign their Medicare billing to St Dominic Medical Associates LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (58), Gastroenterology (16) and Internal Medicine (12). Of these, 2 practice at this address and 121 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St Dominic Medical Associates LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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 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.