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

St Dominic Medical Associates, LLC

Organization Neurology Physician · NPI 1083989412

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

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

969 Lakeland Dr
Jackson, MS 39216-4606 Not confirmed with CMS for 14 years — call before visiting
Phone: (601) 200-4749
Fax: (601) 200-5929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1083989412
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Dominic Jackson Memorial Hospital
Authorized official Jennifer Sinclair — Vp Of Finance · (601) 200-4749
NPI enumeratedMarch 19, 2012
Last updated in NPPESMarch 19, 2012
Mailing addressPo Box 23666, Jackson, MS 39225-3666

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