St Dominic Medical Associates LLC
NPI 1689063067ActiveOrganization· Urology· Jackson, MS
Urology in Jackson, Mississippi, registered in NPPES in January 2015, part of St Dominic Jackson Memorial Hospital. The authorized official on file is Jennifer Sinclair, President Of Sdma.
Overview
| NPI | 1689063067 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | St Dominic Jackson Memorial Hospital |
| NPI issued | Jan 22, 2015 |
| Last updated in NPPES | Jun 17, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | 13524 | MS |
| Urology | 208800000X | 11495 | MS |
| Urology | 208800000X | 09524 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Urology providers in Jackson
- 1851305700
- 1902837313
- 1528263936
- 1730118696
- 1568759090
- 1962021873
- 1346132826
- 1932318243
- 1487686374
- 1255351367
- 1699154294
- 1649007055