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

Mr. John Blake Endris, FNP-C

Individual provider Family Medicine Physician · NPI 1780497503

Mr. John Blake Endris, FNP-C is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2024, 2 years ago. Practices with Southern Medical Consultants LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2025
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2 Lenox Ct
Jackson, MS 39211-4145
Phone: (601) 421-3280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 907149 (MS)
Family Medicine Physician Taxonomy 207Q00000X · Licence 907149 (MS)

Record details

NPI number1780497503
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJanuary 27, 2025
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 2, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Southern Medical Consultants Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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