OrganizationActive
St Dominic-Jackson Memorial Hospital
NPI 1679596860 · Psychiatric Hospital Unit · Jackson, MS
St Dominic-Jackson Memorial Hospital is a Psychiatric Hospital Unit organization in Jackson, MS (NPI 1679596860).
Provider details
- NPI number
- 1679596860
- Entity type
- Organization
- Primary specialty
- Psychiatric Hospital UnitHospital Units
- Organization subpart
- No
- Authorized official
- Peter Koury, Executive Vice President(601) 200-6950
- License
- 14-031 (MS)
Specialties & taxonomies
Hospital Units
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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) 200-2000
Fax: (600) 200-0924
Approximate (ZIP-level) locationGet directions
Mailing address
969 Lakeland Dr
Jackson, MS 39216-4606
Registry dates
- Enumerated
- 2006-07-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is St Dominic-Jackson Memorial Hospital's NPI number?
- St Dominic-Jackson Memorial Hospital's National Provider Identifier (NPI) is 1679596860, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Dominic-Jackson Memorial Hospital?
- St Dominic-Jackson Memorial Hospital is classified in the NPPES registry as Psychiatric Hospital Unit (Hospital Units).
- Where is St Dominic-Jackson Memorial Hospital located?
- St Dominic-Jackson Memorial Hospital's practice location on file with NPPES is 969 Lakeland Dr, Jackson, MS 39216-4606.
- What is St Dominic-Jackson Memorial Hospital's phone number?
- The practice phone number listed in the NPPES registry for St Dominic-Jackson Memorial Hospital is (601) 200-2000.
- Who is the authorized official for St Dominic-Jackson Memorial Hospital?
- The authorized official listed on St Dominic-Jackson Memorial Hospital's NPPES record is Peter Koury, Executive Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Dominic-Jackson Memorial Hospital's NPI active?
- Yes — St Dominic-Jackson Memorial Hospital's NPI (1679596860) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.