Tiffany Smith
ST. DOMINIC MEDICAL ASSOCIATES LLC


Address: 969 Lakeland Dr, Jackson, MS 39216-4606
Phone: 6012003100

Tiffany Smith (NPI# 1013302082, PAC ID# 4587964804) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1013302082
PAC ID by PECOS 4587964804
Professional Enrollment ID I20151118001328
Full Name Tiffany Smith
Organization Legal Name ST. DOMINIC MEDICAL ASSOCIATES LLC
Address 969 Lakeland Dr
Jackson
MS 39216-4606
Phone Number 6012003100
Gender F
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 0446303168
Number of Group Practice Members 113
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
250048 ST DOMINIC-JACKSON MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
3450 Hwy 80 W, Hinds Behavioral Health Services, Jackson, MS 39209-7201 6013212400 HINDS COUNTY MENTAL HEALTH
969 Lakeland Dr, Jackson, MS 39216-4606 6012003100 ST. DOMINIC MEDICAL ASSOCIATES LLC

Organization Information

Organization Legal Name ST. DOMINIC MEDICAL ASSOCIATES LLC
Physicians 129

Physicians with the same organization

Name Specialty Organization Address
Molly Grubbs Mayhugh Nurse Practitioner St. Dominic Medical Associates LLC 342 Magnolia Dr, Raleigh, MS 39153-6012
Charnell R Cain Family Medicine St. Dominic Medical Associates LLC 1297 W Government St, St Dominic Family Practice Associaties, Brandon, MS 39042-3048
Samuel Hammond Love Internal Medicine St. Dominic Medical Associates LLC 970 Lakeland Dr, Suite 40, Jackson, MS 39216-4640
J Scott Harrison Internal Medicine St. Dominic Medical Associates LLC 106 Highland Way, 200 St Dominic Surgical Oncology, Madison, MS 39110-6933
Arturo E Blanco Family Medicine St. Dominic Medical Associates LLC 728 Clinton Pkwy, Suite B, Clinton, MS 39056-5227
Jo P Deal Infectious Disease St. Dominic Medical Associates LLC 971 Lakeland Dr, Suite 954, Jackson, MS 39216-4609
Paul E Sheffield Family Medicine St. Dominic Medical Associates LLC 890 Lakeland Dr, Jackson, MS 39216-4644
George E Patton Jr. Internal Medicine St. Dominic Medical Associates LLC 971 Lakeland Dr, Suite 250, Jackson, MS 39216-4620
John Adrian Lancon Neurosurgery St. Dominic Medical Associates LLC 971 Lakeland Dr, Suite 1250, Jackson, MS 39216-4609
Lelouise T Davis Nurse Practitioner St. Dominic Medical Associates LLC 970 Lakeland Dr, Suite 45, Jackson, MS 39216-4634

Office Location

Street Address 969 LAKELAND DR
City JACKSON
State MS
Zip 39216-4606

Physicians in the same location

Name Specialty Organization Address
Amber Lynne Goodman Physician Assistant St. Dominic Hospital Medicine LLC 969 Lakeland Dr, Jackson, MS 39216-4606
Gabriel M Zevallos Internal Medicine St. Dominic Hospital Medicine LLC 969 Lakeland Dr, Jackson, MS 39216-4606
Deidra Thompson Nurse Practitioner St. Dominic Medical Associates LLC 969 Lakeland Dr, Jackson, MS 39216-4606
Jonathan Davison Reves Internal Medicine St. Dominic Hospital Medicine LLC 969 Lakeland Dr, Jackson, MS 39216-4606
Jana P Cline Nurse Practitioner St. Dominic Medical Associates LLC 969 Lakeland Dr, Jackson, MS 39216-4606
Michelle Hughes Nurse Practitioner St. Dominic Hospital Medicine LLC 969 Lakeland Dr, Jackson, MS 39216-4606
James E Roberts Jr. Internal Medicine St. Dominic Hospital Medicine LLC 969 Lakeland Dr, Jackson, MS 39216-4606
Kathryn Nicholas Diagnostic Radiology Lakeland Radiologists, Pa 969 Lakeland Dr, Jackson, MS 39216-4606
Michelle V Taylor Nurse Practitioner St. Dominic Medical Associates LLC 969 Lakeland Dr, Jackson, MS 39216-4606
Jenna Elizabeth Clark Nurse Practitioner St. Dominic Hospital Medicine LLC 969 Lakeland Dr, Jackson, MS 39216-4606
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Mark O Rester Psychiatry 1225 N State St, Jackson, MS 39216
Jasmine Martin Smith Physical Therapy Central Mississippi Civic Improvement Association, Inc 3502 W Northside Dr, Jackson, MS 39216
Lula Johnson Nurse Practitioner Central Mississippi Civic Improvement Association, Inc 3502 W Northside Dr, Jackson, MS 39216
Olivia Mccay Registered Dietitian Or Nutrition Professional Nutrition Systems Wellness LLC 603 Duling Ave, Suite 207, Jackson, MS 39216-4009
Nosratollah Ghaemmaghami Internal Medicine 381 Medical Dr, Jackson, MS 39216-4118
Julie P Wyatt Dermatology 3000 Old Canton Rd, Suite 430, Jackson, MS 39216-4225
Nancy H Goldman Certified Clinical Nurse Specialist (cns) 3000 Old Canton Rd, Suite 465, Jackson, MS 39216-4225
Louis Wise Jr. Dermatology 3000 Old Canton Rd, Suite 430, Jackson, MS 39216-4225
Thomas H Cabell Ophthalmology 3000 Old Canton Rd, Suite 405, Jackson, MS 39216-4234
Albert T Williams Ophthalmology A.terrel Williams, Md, Pllc 3000 Old Canton Rd, Suite 305, Jackson, MS 39216-4245
Find all physicians in zip 39216

Competitor

Search similar physicians

City JACKSON
Zip Code 39216
Specialty NURSE PRACTITIONER
City + Specialty JACKSON + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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