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

St Dominic Medical Associates LLC

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1831342054

St Dominic Medical Associates LLC is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Jackson, Mississippi. Works from 7 locations. Registered with an NPI since 2008.

In the registry since
2008
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

970 Lakeland Dr Ste 61
Jackson, MS 39216-4634
Phone: (601) 200-2780
Fax: (601) 200-2788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 810 E Sunflower Rd Ste 100j, Cleveland, MS 38732-2828 — (601) 200-2780
  • 971 Lakeland Dr Ste 657, Jackson, MS 39216-4608 — (601) 200-2990
  • 332 Highway 12 W, Kosciusko, MS 39090-3209 — (601) 200-2780
  • 360 Simpson Highway 149 Ste 370, Magee, MS 39111-3843 — (601) 200-2780
  • 610 Second St, Pelahatchie, MS 39145-3135 — (601) 854-5044
  • 4204 Clay St, Vicksburg, MS 39183-3438 — (601) 200-2780

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X

Record details

NPI number1831342054
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Dominic Jackson Memorial Hospital
Authorized official Danielle Stuart — Credentialing Representative 2 · (601) 200-4880
Other names Cardiovascular Surgery Associates; Cardiovascular Surgery Associates
NPI enumeratedOctober 31, 2008
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021
Mailing addressPo Box 23666, Jackson, MS 39225-3666

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