NPPES file of Aug 9, 2026

St. Dominic Jackson Memorial in Jackson, MS

This organization bills under NPI 1235173691, an organization record issued on Jun 16, 2006 with the primary taxonomy Emergency Medicine Physician. Each clinician who works there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1235173691
Legal name
St. Dominic Jackson Memorial
Entity
Type 2 · organization
Primary taxonomy
Emergency Medicine Physician 207P00000X
Practice location
969 LAKELAND DR, Jackson, MS 39216
Phone
601-200-2000
Enumerated
Jun 16, 2006
Record updated
Aug 11, 2010
Authorized official
Director (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

20 clinicians CMS lists with St Dominic Jackson Memorial in Jackson

  1. Brett Bennett, MDInterventional Cardiology Physician1538471842
  2. James Bennett, MDInterventional Cardiology Physician1760426670
  3. Kristen Boggs, NPNurse Practitioner1831841725
  4. Stephanie Bostic, NPFamily Nurse Practitioner1487433454
  5. Stephanie Boydston, FNP-CFamily Nurse Practitioner1356984462
  6. Andrew Brown, MDCardiovascular Disease Physician1568825677
  7. Julia Bruce, FNP-CFamily Nurse Practitioner1720275753
  8. Alysia Byers, NP-CFamily Nurse Practitioner1770824476
  9. Felecia Carter, AG-ACNPGerontology Nurse Practitioner1891253811
  10. Anne Chapman, FNP-BCFamily Nurse Practitioner1255563052
  11. Philip Chustz, MDInterventional Cardiology Physician1811198005
  12. Latasha Collins, CFNPFamily Nurse Practitioner1780089649
  13. Vernon Cotten, MDCardiovascular Disease Physician1164466082
  14. William Crowder, MDInterventional Cardiology Physician1619919479
  15. Kristen DegelmanFamily Nurse Practitioner1437694320
  16. Jennifer Dinning, MDVascular Surgery Physician1699062208
  17. Analise Douglas, MDInterventional Cardiology Physician1396279451
  18. Ryan Farthing, NPFamily Nurse Practitioner1639885205
  19. Laurie Foster, AGPCNP-CNurse Practitioner1962854323
  20. Ruth Fredericks, MDNeurology Physician1730138843

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

Checking an organization

  1. Confirm the business with the Mississippi secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

All taxonomies on this record

  • 207L00000X Anesthesiology Physician
  • 207P00000X Emergency Medicine Physician
  • 208600000X Surgery Physician
  • 367500000X Certified Registered Nurse Anesthetist
  • 367H00000X Anesthesiologist Assistant

Common questions

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.