Organization
St Dominic Medical Associates LLC
Provider's NPPES record last updated: July 2, 2019
Overview
- Entity Type
- Organization
- NPI
- 1083032171
- Primary Specialty
- Family Medicine
- Practice Location
- Raleigh, Mississippi
- Organization Subpart
- Yes
- Parent Organization
- St Dominic Jackson Memorial Hospital
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 10:14 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000X
Provider-Reported License Information
- Family Medicine (Mississippi)
- 16442
Practice Locations
Practice Location
342 Magnolia Dr
Raleigh, Mississippi 39153-6012
Phone: (601) 200-6809
Additional Practice Location
360 Simpson Highway 149 Ste 370
Magee, Mississippi 39111-3843
Phone: (601) 849-1530
Fax: (601) 849-1535
Other Names
- St Dominic Raleigh Family PracticeReported April 4, 2014
- St Dominic Raleigh Family PracticeReported July 2, 2019
Record Information
- Enumeration Date
- April 4, 2014
- Provider's NPPES Record Last Updated
- July 2, 2019
- NPISignal NPPES Dataset
- August 2026
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