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St Dominic Medical Associates LLC

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Jackson, MS · enumerated 2008 · authorized official Danielle Stuart, Credentialing Representative 2.

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

National Provider Identifier

1831342054

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Registry record

Entity type Organization (Type 2)
Legal business name St Dominic Medical Associates LLC
Other name <Unavail>
Parent organization St. Dominic Jackson Memorial Hospital
Practice address 970 Lakeland Dr Ste 61, Jackson, MS, 39216
Fax (601) 200-2788
Enumeration date Oct 31, 2008
Last updated in NPPES Jun 16, 2021

Taxonomy & classification

208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Danielle Stuart
Title Credentialing Representative 2

Other identifiers

Identifier Type State Issuer
00978789 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.

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Frequently asked questions

What is the NPI number for St Dominic Medical Associates LLC?
The NPI for St Dominic Medical Associates LLC is 1831342054, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for St Dominic Medical Associates LLC?
NPPES lists Danielle Stuart (Credentialing Representative 2) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-06-16.