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St. Dominic Medical Associates, LLC

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Company Details

Name: St. Dominic Medical Associates, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 17 Oct 2008 (17 years ago)
Business ID: 939821
ZIP code: 39216
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 969 Lakeland DriveJackson, MS 39216
Historical names: ST. DOMINIC MERGER SUB, LLC

Agent

Name Role Address
JONATHAN WERNE Agent 969 Lakeland Drive, Jackson, MS 39216

Member

Name Role Address
St. Dominic-Jackson Memorial Hospital Member 969 Lakeland Drive, Jackson, MS 39216-

President

Name Role Address
James Craven MD President 969 LAKELAND DRIVE, JACKSON, MS 39216

National Provider Identifier

NPI Number:
1326646845
Certification Date:
2021-05-26

Authorized Person:

Name:
DANIELLE STUART
Role:
CREDENTIALING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
6012004475

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-03 Annual Report For St. Dominic Medical Associates, LLC
Annual Report LLC Filed 2024-04-12 Annual Report For St. Dominic Medical Associates, LLC
Merger Filed 2024-03-26 Merger For St. Dominic Medical Associates, LLC
Annual Report LLC Filed 2023-08-30 Annual Report For St. Dominic Medical Associates, LLC
Annual Report LLC Filed 2022-04-05 Annual Report For St. Dominic Medical Associates, LLC
Annual Report LLC Filed 2022-03-28 Annual Report For St. Dominic Medical Associates, LLC
Annual Report LLC Filed 2021-04-14 Annual Report For St. Dominic Medical Associates, LLC
Annual Report LLC Filed 2020-03-06 Annual Report For St. Dominic Medical Associates, LLC
Amendment Form Filed 2020-03-06 Amendment For St. Dominic Medical Associates, LLC
Annual Report LLC Filed 2019-03-15 Annual Report For St. Dominic Medical Associates, LLC

OSHA's Inspections within Industry

Inspection Summary

Date:
2022-08-16
Type:
Complaint
Address:
1297 WEST GOVERNMENT STREET, BRANDON, MS, 39042
Safety Health:
Health
Scope:
Partial

Paycheck Protection Program

Jobs Reported:
314
Initial Approval Amount:
$4,297,530
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$4,297,530
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$4,355,427.28
Servicing Lender:
Trustmark National Bank
Use of Proceeds:
Payroll: $4,297,530

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Date of last update: 27 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website