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

Joseph Robert Lake, MD

Individual provider Emergency Medicine Physician · NPI 1538797626

Joseph Robert Lake, MD is an Emergency Medicine in Jackson, Mississippi. Graduated from Indiana University School of Medicine in 2020, 6 years ago. Practices with South Bend Emergency Physicians Inc, a 50-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Trained at
Indiana University School of Medicine
Licensed in
MS
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-8010
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 31395 (MS)

Record details

NPI number1538797626
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 14, 2023
Mailing address504 Clinton Center Drive, Cbo Suite 4300, Clinton, MS 39056

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice South Bend Emergency Physicians Inc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson