{"npi":"1407920549","type":"NPI-2","status":"active","name":{"display":"St. Dominic Medical Associates LLC","other":[],"organization_name":"ST. DOMINIC MEDICAL ASSOCIATES LLC","authorised_official":"Danielle Stuart"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"2086S0102X","description":"Surgical Critical Care Physician","primary":false,"state":null,"license":null},{"code":"208800000X","description":"Urology Physician","primary":false,"state":null,"license":null},{"code":"208G00000X","description":"Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician","primary":false,"state":null,"license":null},{"code":"208VP0000X","description":"Pain Medicine Physician","primary":false,"state":null,"license":null},{"code":"207T00000X","description":"Neurological Surgery Physician","primary":false,"state":null,"license":null},{"code":"207VX0201X","description":"Gynecologic Oncology","primary":false,"state":null,"license":null},{"code":"207Y00000X","description":"Otolaryngology Physician","primary":false,"state":null,"license":null},{"code":"2084N0400X","description":"Neurology","primary":false,"state":null,"license":null},{"code":"2084P0800X","description":"Psychiatry","primary":false,"state":null,"license":null},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"969 LAKELAND DR","city":"JACKSON","state":"MS","postal_code":"392164606","country_code":"US","phone":"6012004749","fax":"6012005929"},{"purpose":"MAILING","street_1":"PO BOX 23666","city":"JACKSON","state":"MS","postal_code":"392253666","country_code":"US","phone":"6012004749","fax":"6012005929"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090728000821","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MS","pac_id":"0446303168"}]},"enumeration_date":"2006-11-20","last_updated":"2021-11-18","_meta":{"source":"NPPES","snapshot_date":"2021-11-18","doc_url":"https://findmynpi.com/api"}}