NPIMap

St. Dominic Jackson Memorial

A Medicare group practice based in Jackson, MS: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4385531847), with 59 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4385531847The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MS
Enrollments
1
Group size
56 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
1In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040301000818 MS Part B Supplier - Clinic/Group Practice 1235173691

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 59

Clinicians who reassign their Medicare benefits to this group (58) or whom Care Compare lists as members (56).

Sources for this page