Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John Pettey Sandifer Jr., MD

Individual provider Emergency Medicine Physician · NPI 1881873990

Dr. John Pettey Sandifer Jr., MD is an Emergency Medicine in Jackson, Mississippi. Graduated from University of Mississippi School of Medicine in 2005, 21 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
21
Trained at
University of Mississippi School of Medicine
Licensed in
NC
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5570
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2007-01565 (NC)

Record details

NPI number1881873990
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 25, 2007
Last updated in NPPESJune 27, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Jackson