ST. DOMINIC HOSPITAL MEDICINE – NPI #1285987578
Hospitalist

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

ST. DOMINIC HOSPITAL MEDICINE is a hospitalist located in JACKSON, MS. NPPES has assigned the NPI number 1285987578 to ST. DOMINIC HOSPITAL MEDICINE on October 24, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ST. DOMINIC HOSPITAL MEDICINE” is a dba name, the actual legal business name for this organization is ST DOMINIC MEDICAL ASSOCIATES LLC. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 208M00000X from the Health Care Provider Taxonomy code set, which is classified as Hospitalist.

The NPI profile was previously updated about 4 years ago on Mar 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST. DOMINIC HOSPITAL MEDICINE below.

NPI Profile for
ST DOMINIC MEDICAL ASSOCIATES LLC

NPI Number
1285987578
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST DOMINIC MEDICAL ASSOCIATES LLC
Doing Business As (dba): ST. DOMINIC HOSPITAL MEDICINE
Other name(s)
All associated names:
Doing Business As (dba)
St Dominic Pallative Care
Doing Business As (dba)
St. Dominic Hospital Medicine
Primary location
969 LAKELAND DR
JACKSON, MS 39216
Phone: (601) 200-5900 Fax: (601) 200-0204
Mailing address
PO BOX 23666
JACKSON, MS 39225-3666
Phone: (601) 200-4644 Fax: (601) 200-4645
Organization Subpart
Yes - ST. DOMINIC HOSPITAL MEDICINE is subpart of another organization.
Authorized Official
DANIELLE STUART
CREDENTIALING REPRESENTATIVE 2
Phone: (601) 200-4880
Updated
Certification Date
Mar 21, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ST. DOMINIC HOSPITAL MEDICINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS02055703
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208M00000X
- Hospitalist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.