ST. DOMINIC MEDICAL ASSOCIATES INC (NPI# 1386871861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386871861 |
| Entity Type | Organization |
| Organization Name | ST. DOMINIC MEDICAL ASSOCIATES INC |
| Other Organization Name | FAMILY PRACTICE ASSOCIATES CLINTON |
| Practice Address |
498 Highway 80 E Clinton MS 39056-4720 |
| Practice Telephone | 6012002000 |
| Mailing Telephone | 6012002000 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |
| Authorized Official Name | JENNIFER SINCLAIR (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 6012002000 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. DOMINIC JACKSON MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MS | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Family Practice Associates Clinton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821225301 | St. Dominic Medical Associates Inc | Psychiatry & Neurology | 969 Lakeland Dr, St Thomas Hall, Jackson, MS 39216-4606 | 2009-06-11 |
| 1265669782 | St. Dominic Medical Associates Inc | Neurological Surgery | 971 Lakeland Dr, Suite 657, Jackson, MS 39216-4643 | 2009-06-11 |
| 1538396056 | St. Dominic Medical Associates Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 971 Lakeland Dr, Suite 1159, Jackson, MS 39216-4643 | 2009-06-11 |
| 1205062718 | St. Dominic Medical Associates Inc | Family Medicine | 1050 River Oaks Dr, Suite 100, Flowood, MS 39232-9564 | 2009-06-10 |
| 1194951608 | St. Dominic Medical Associates Inc | Family Medicine | 106 Highland Way, Suite 103, Madison, MS 39110-6929 | 2009-06-10 |
| Street Address |
498 HIGHWAY 80 E |
| City | CLINTON |
| State | MS |
| Zip Code | 39056-4720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376577379 | First Intermed Corporation | Family Medicine | 498 Highway 80 E, Clinton, MS 39056-4720 | 2006-07-10 |
| 1760096762 | April Robinson | Nurse Practitioner | 498 Highway 80 E, Clinton, MS 39056-4720 | 2020-09-07 |
| 1194200758 | Mea Primary Care Plus, LLC | Family Medicine | 498 Highway 80 E, Clinton, MS 39056-4720 | 2018-09-30 |
| 1225048291 | William M Grantham | Family Medicine | 498 Highway 80 E, Clinton, MS 39056-4720 | 2006-08-09 |
| 1992715676 | Deborah Sanders | Family Medicine | 498 Highway 80 E, Clinton, MS 39056-4720 | 2006-08-08 |
| 1548278385 | Sylvia G Martin | Family Medicine | 498 Highway 80 E, Clinton, MS 39056-4720 | 2006-08-04 |
| 1437179967 | Patrick Bynum | Family Medicine | 498 Highway 80 E, Clinton, MS 39056-4720 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| Find all providers in zip 39056 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217978 | Springridge Medical Clinic | Family Medicine | 507 Springridge Rd Ste A, Clinton, MS 39056-5628 | 2019-10-20 |
| 1578125837 | Dana Fuller | Family Medicine | 600 Plaza Cir, Clinton, SC 29325-7555 | 2019-07-07 |
| 1477057966 | Strong Health & Wellness Center, LLC | Family Medicine | 130 Fairmont St Ste B, Clinton, MS 39056-4714 | 2018-03-20 |
| 1841650348 | St. Luke's Warren Physician Group, PC | Family Medicine | 22 Walmart Plaza, Clinton, NJ 08809 | 2016-02-26 |
| 1851762173 | Olive Tree Medical Associates Pllc | Family Medicine | 7505 Foote Rd, Clinton, NY 13323-3403 | 2015-10-13 |
| 1356789341 | Clinton Hmpn, LLC | Family Medicine | 129 S. 9th Street, Clinton, OK 73601 | 2013-06-12 |
| 1437458601 | Sally A Goodwin | Family Medicine | 3677 Woodland Hall Ln, Clinton, WA 98236-8628 | 2011-03-27 |
| 1578886610 | University Health System, Inc | Family Medicine | 2681 Andersonville Hwy, Ste 102, Clinton, TN 37716-6706 | 2010-03-03 |
| 1720313075 | Eva Cesnek Novak | Family Medicine | 54 Old Route 22, Clinton, NJ 08809-4137 | 2009-10-05 |
| 1437388055 | Scott Chasley Martin | Family Medicine | 732 Clinton Pkwy, Clinton, MS 39056-5227 | 2009-07-02 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.