St Dominic Medical Associates Llc
Neurology Clinic
971 Lakeland Dr, Suite 557, Jackson
Mississippi, 39216-4643
601-200-4560 601-200-4850
Maps & DirectionsSt Dominic Medical Associates Llc is a Neurology Clinic in Jackson, Mississippi. This organization is also known as sub part of St Dominic Jackson Memorial Hospital. It is located at 971 Lakeland Dr, Suite 557, Jackson, MS and its contact number is 601-200-4560. The authorized person for St Dominic Medical Associates Llc is Danielle Stuart
who is Credentialing Specialist of the clinic and his/her contact number is 601-200-4880. Other organizations associated with this clinic are St Dominic Medical Associates Llc, Ruth K. Fredericks, M.d., Jackson Neurology Associates, The primary license number for St Dominic Medical Associates Llc is 21151 (Neurology) in Mississippi.
St Dominic Medical Associates Llc Clinic specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Clinic Profile:
St Dominic Medical Associates Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | St Dominic Medical Associates Llc |
| Specialization: | Neurology |
| Clinic Address: | 971 Lakeland Dr, Suite 557, Jackson,
Mississippi, 39216-4643 |
| Phone: | 601-200-4560 |
| Fax: | 601-200-4850 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Danielle Stuart |
| Position: | Credentialing Specialist |
| Contact Number: | 601-200-4880 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for St Dominic Medical Associates Llc clinic are as mentioned below.
| NPI Number: | 1215350152 |
| Parent Organization: | St Dominic Jackson Memorial Hospital |
| NPI Enumeration Date: | 29 Jan, 2014 |
| NPI Last Update On: | 28 Oct, 2019 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| St Dominic Medical Associates Llc | Neurology | 1215350152 |
| Ruth K. Fredericks, M.d. | Neurology | 1427007400 |
| Jackson Neurology Associates | Neurology | 1942231543 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for St Dominic Medical Associates Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Neurology | 21151 | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 07430597 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | St Dominic Medical Associates Llc
Po Box 23666,
Jackson, Mississippi |
| Zip: | 39225-3666 |
| Phone Number: | 601-200-4560 |
| Fax Number: | 601-200-4580 |
Patients can reach St Dominic Medical Associates Llc at
971 Lakeland Dr, Suite 557, Jackson, Mississippi or can
call to book an appointment on 601-200-4560.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.