HomeNPI Verification

NPI Verification

National Provider Identifier: 1407920549

St. Dominic Medical Associates LLC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (10)

Surgery, Surgical Critical Care

Code: 2086S0102X

Urology

Code: 208800000X

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Code: 208G00000X

Code: 208VP0000X

Neurological Surgery

Code: 207T00000X

Obstetrics & Gynecology, Gynecologic Oncology

Code: 207VX0201X

Otolaryngology

Code: 207Y00000X

Psychiatry & Neurology, Neurology

Code: 2084N0400X

Psychiatry & Neurology, Psychiatry

Code: 2084P0800X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

969 LAKELAND DR

JACKSON, MS 392164606

Phone: 601-200-4749

NPI Enumeration Date

November 20, 2006

NPI Number

1407920549

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry