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

St Dominic Medical Associates LLC

Organization Urology Physician · NPI 1689063067

St Dominic Medical Associates LLC is an Urology Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2015.

Licensed in
MS
In the registry since
2015
Specialties on file
3
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 360
Jackson, MS 39216-4643
Phone: (601) 200-4370
Fax: (601) 200-4375
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 13524 (MS)
Urology Physician Taxonomy 208800000X · Licence 11495 (MS)
Urology Physician Taxonomy 208800000X · Licence 09524 (MS)

Record details

NPI number1689063067
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Dominic Jackson Memorial Hospital
Authorized official Jennifer Sinclair — President Of Sdma · (601) 200-6955
Other names St Dominic Urology
NPI enumeratedJanuary 22, 2015
Last updated in NPPESJune 17, 2016
Mailing addressPo Box 23666, Jackson, MS 39225-3666

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