St Dominic Medical Associates LLC
NPI 1285987578ActiveOrganization· Hospitalist· Jackson, MS
Hospitalist in Jackson, Mississippi, registered in NPPES in October 2012, part of St Dominic Jackson Memorial Hospital. The authorized official on file is Danielle Stuart, Credentialing Representative 2.
Overview
| NPI | 1285987578 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | St Dominic Jackson Memorial Hospital |
| NPI issued | Oct 24, 2012 |
| Last updated in NPPES | Mar 21, 2022 |
| Certified by provider | Mar 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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