St. Dominic Medical Associates LLC
NPI 1902374085ActiveOrganization· Internal Medicine, Gastroenterology· Jackson, MS
Internal Medicine, Gastroenterology in Jackson, Mississippi, registered in NPPES in November 2018, part of St. Dominic-Jackson Memorial Hospital. The authorized official on file is Danielle Stuart, Credentialing Specialist.
Overview
| NPI | 1902374085 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | St. Dominic-Jackson Memorial Hospital |
| NPI issued | Nov 7, 2018 |
| Last updated in NPPES | Dec 22, 2022 |
| Certified by provider | Dec 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
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 |
|---|
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