ST. DOMINIC GASTROENTEROLOGY
NPI 1902374085
Internal Medicine - Gastroenterology in Jackson, MS

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

The NPI number for St. Dominic Medical Associates LLC is 1902374085. It was assigned to this organization in the NPPES registry on November 7, 2018. The provider is doing business as St. Dominic Gastroenterology.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since November 07, 2018

971 LAKELAND DR STE 250, JACKSON, MS 39216(601) 200-5550(601) 200-4887 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2022, Nov 7, 2018 (2 updates tracked since 2018).

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About St. Dominic Gastroenterology NPPES

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

ST. DOMINIC GASTROENTEROLOGY (NPI 1902374085) is a healthcare organization registered as a gastroenterology in Jackson, Mississippi and active in the NPI registry since November 2018. The organization lists Danielle Stuart, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1902374085

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameST. DOMINIC MEDICAL ASSOCIATES LLC

Location Address971 LAKELAND DR STE 250Jackson, MS 39216-4620

Mailing Address971 Lakeland Dr Ste 250Jackson, MS 39216-4620 · (601) 200-5550 · Fax (601) 200-4887

Phone(601) 200-5550

Fax(601) 200-4887

Organization SubpartYesParent: St. Dominic-jackson Memorial Hospital

Authorized OfficialDanielle StuartCredentialing Specialist · (601) 200-4880

Enumeration DateNovember 7, 2018

Last NPPES UpdateDecember 22, 20222 updates tracked since enumeration

NPPES CertifiedDecember 22, 2022

✔ NPI 1902374085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

971 LAKELAND DR STE 250, Jackson, MS 39216

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Other Names 1

Doing Business AsSt. Dominic Gastroenterology

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 Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK E WILSON MD

Internal Medicine (Gastroenterology)