Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Dominic Medical Associates LLC

Organization Family Medicine Physician · NPI 1083032171

St Dominic Medical Associates LLC is a Family Medicine Physician in Raleigh, Mississippi. Works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

342 Magnolia Dr
Raleigh, MS 39153-6012
Phone: (601) 200-6809
Fax: (601) 200-5929
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 360 Simpson Highway 149 Ste 370, Magee, MS 39111-3843 — (601) 849-1530

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 16442 (MS)

Record details

NPI number1083032171
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 Raleigh Family Practice; St Dominic Raleigh Family Practice
NPI enumeratedApril 4, 2014
Last updated in NPPESJuly 2, 2019
Mailing addressPo Box 23666, Jackson, MS 39225-3666

Other providers in Raleigh