OrganizationActive
St. Dominic Hospital Medicine LLC
NPI 1104362292 · Hospitalist Physician · Jackson, MS
Provider details
- NPI number
- 1104362292
- Entity type
- Organization
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- St. Dominic Jackson Memorial Hospital
- Organization subpart
- Yes
- Authorized official
- Jennifer Sinclair, President of Sdma(601) 200-6955
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (601) 200-4644
Fax: (601) 200-4645
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 23666
Jackson, MS 39225-3666
Registry dates
- Enumerated
- 2017-01-12
- Last updated
- 2017-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.