St Dominic Ambulatory Surgery Center L L C
NPI 1255303517 · Ambulatory Surgical Clinic/Center · Jackson, MS
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St Dominic Ambulatory Surgery Center L L C is a Ambulatory Surgical Clinic/Center organization in Jackson, MS (NPI 1255303517).
Provider details
- NPI number
- 1255303517
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Yelverton, Medical Director(601) 984-8800
- License
- 011 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
819 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 227 | $256 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 183 | $387 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 119 | $313 |
| Injection of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance62321 | 74 | $308 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 71 | $320 |
| Aspiration And/Or Injection of Fluid From Large Joint |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-02
- Last updated
- 2010-06-16
Frequently asked questions
- What is St Dominic Ambulatory Surgery Center L L C's NPI number?
- St Dominic Ambulatory Surgery Center L L C's National Provider Identifier (NPI) is 1255303517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Dominic Ambulatory Surgery Center L L C?
- St Dominic Ambulatory Surgery Center L L C is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is St Dominic Ambulatory Surgery Center L L C located?
- St Dominic Ambulatory Surgery Center L L C's practice location on file with NPPES is 970 Lakeland Dr, Jackson, MS 39216-4601.
- What is St Dominic Ambulatory Surgery Center L L C's phone number?
- The practice phone number listed in the NPPES registry for St Dominic Ambulatory Surgery Center L L C is (601) 984-8800.
- Does St Dominic Ambulatory Surgery Center L L C accept Medicare?
- St Dominic Ambulatory Surgery Center L L C is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for St Dominic Ambulatory Surgery Center L L C?
- The authorized official listed on St Dominic Ambulatory Surgery Center L L C's NPPES record is Richard Yelverton, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Dominic Ambulatory Surgery Center L L C's NPI active?
- Yes — St Dominic Ambulatory Surgery Center L L C's NPI (1255303517) is active in the NPPES registry as of the last update on 2010-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.