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

St Dominic Medical Associates LLC

Organization Gastroenterology Physician · NPI 1902374085

St Dominic Medical Associates LLC is a Gastroenterology Physician 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.

See every abbreviation used in this directory →

Practice location Address checks out

971 Lakeland Dr Ste 250
Jackson, MS 39216-4620
Phone: (601) 200-5550
Fax: (601) 200-4887
Show map & directions

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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