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 Gastroenterology Physician · NPI 1902374085

St Dominic Medical Associates LLC provides Gastroenterology Physician services in Jackson, Mississippi. Registered with an NPI since 2018.

In the registry since
2018
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

971 Lakeland Dr Ste 250
Jackson, MS 39216-4620
Phone: (601) 200-5550
Fax: (601) 200-4887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1902374085
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 Gastroenterology; St. Dominic Gastroenterology
NPI enumeratedNovember 7, 2018
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022
Mailing address971 Lakeland Dr Ste 250, Jackson, MS 39216-4620

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