St Dominic Medical Associates LLC
Pain Medicine, Interventional Pain Medicine in Jackson, MS. Organization (NPI-2).
Details
- NPI
- 1124452859
- Entity type
- Organization (NPI-2)
- Legal business name
- St Dominic Medical Associates LLC
- Organization subpart
- Yes
- Enumeration date
- Aug 29, 2013
- Last updated
- Feb 4, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | MS | Yes |
Other names
- St Dominic Pain Management Center (Doing Business As)
Practice location
970 Lakeland DrSuite 45
Jackson, MS 39216-4635
Phone 601-200-4690 · Fax 601-200-4698
Mailing address
Po Box 23666Jackson, MS 39225-3666
Phone 601-200-4749 · Fax 601-200-5929
Authorized official
Jennifer Sinclair
President Of Sdma
6012002000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Interventional Pain Medicine Physician providers in Jackson, MS
- Dr. Jeff Summers PANPI 1003025412
- John Stephen Lutz, M.D.NPI 1255628020
- Alfred Gordon Lyons, M.D.NPI 1932201423
- Lori Hill Marshall, M.D.NPI 1144428749
All 5 Interventional Pain Medicine Physician providers in Jackson · All 8,702 providers in Jackson
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