Organization · Type 2 NPI

St. Dominic Medical Associates LLC

Family Medicine Physician · Jackson, MS

NPI number 1407920549 Active

Practice location

969 Lakeland Dr
Jackson, MS 39216-4606

Call (601) 200-4749 Map

Fax (601) 200-5929

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Neurological Surgery Physician 207T00000XNone listed
Gynecologic Oncology Physician 207VX0201XNone listed
Otolaryngology Physician 207Y00000XNone listed
Neurology Physician 2084N0400XNone listed
Psychiatry Physician 2084P0800XNone listed
Surgical Critical Care Physician 2086S0102XNone listed
Urology Physician 208800000XNone listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000XNone listed
Pain Medicine Physician 208VP0000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1407920549

St. Dominic Medical Associates LLC's National Provider Identifier is 1407920549, issued on Nov 20, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Jackson, MS. The record was last updated on Oct 26, 2026.