NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

St Dominic-Jackson Memorial Hospital

Psychiatric Hospital Unit in Jackson, MS · enumerated 2006 · authorized official Peter Koury, Executive Vice President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679596860

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name St Dominic-Jackson Memorial Hospital
Practice address 969 Lakeland Dr, Jackson, MS, 39216
Phone (601) 200-2000
Fax (600) 200-0924
Enumeration date Jul 26, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

273R00000X Psychiatric Hospital Unit Hospital Units · License 14-031 (MS) Primary

Authorized official

Name Peter Koury
Title Executive Vice President
Phone (601) 200-6950

Other identifiers

Identifier Type State Issuer
00020034 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is St Dominic-Jackson Memorial Hospital located?
The practice location on file with NPPES is in Jackson, MS.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.