Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

St Dominic Medical Associates

Organization Gynecologic Oncology Physician · NPI 1346510559

St Dominic Medical Associates provides Gynecologic Oncology Physician services in Jackson, Mississippi. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

971 Lakeland Dr Ste 750
Jackson, MS 39216-4643
Phone: (601) 200-4970
Fax: (601) 200-5943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X

Record details

NPI number1346510559
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Dominic Jackson Memorial Hospital
Authorized official Danielle Stuart — Credentialing Specialist · (601) 200-4880
Other names St Dominic'S Gynecologic Oncology; St Dominic'S Gynecologic Oncology
NPI enumeratedJanuary 4, 2012
Last updated in NPPESMarch 16, 2021
Certification dateMarch 16, 2021
Mailing addressPo Box 23666, Jackson, MS 39225-3666

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