Active NPI
John D Belknap, MD
- Family Medicine Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19395
- Practice address
- 5606 Old Canton Rd
Jackson, MS 39211-4217 - Phone
- (601) 957-3333
- Fax
- (601) 957-3335
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19395 | MS | Primary |
Addresses
Primary practice location
5606 Old Canton Rd
Jackson, MS 39211-4217
Mailing address
PO Box 23666
Jackson, MS 39225-3666
Phone (601) 200-4749
Other practice location 1
1220 E Northside Dr Ste 220
Jackson, MS 39211-5503
Phone (601) 768-8275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03179741 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | john.belknap.1@29601.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1220 E Northside Dr
Suite 220
Jackson, MS 39211-5503
Phone (601) 298-4173
4204 Clay St
Vicksburg, MS 39183-3438
Phone (601) 619-7717
Hospital & facility affiliations
- Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson
- Mississippi Homecare of Jackson
- Centerwell Home Health
- St Dominic-Jackson Memorial Hospital
- Merit Health Women'S Hospital
- Mississippi Baptist Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19395 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quad Intermed Company LLC | Current | Accepting new patients | |
| Quad Intermed Company LLC | Current | Accepting new patients | |
| Quad Intermed Company LLC | Past | Accepting new patients |
Locations
342 Gilchrist Dr
Pearl, MS 39208
Phone (601) 939-0700
308 Corporate Dr
Ridgeland, MS 39157
Phone (601) 898-7500
4204 Clay St
Vicksburg, MS 39183
Phone (601) 200-4560
4204 Clay St
#V
Vicksburg, MS 39183
Phone (601) 619-7717
Networks
- LA PPO C-SNP
Interoperability endpoints
- jbelknap2546089@direct.casso.us.com
- john.belknap.1@29601.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Laurel, MS
- NPI 1952099913
-
- Internal Medicine Physician
- Biloxi, MS
- NPI 1841902830
-
- Clinic/Center
- Pearl, MS
- NPI 1205619483
-
- Clinic/Center
- Yazoo City, MS
- NPI 1093403065
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Flowood, MS
- NPI 1417935578
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
- Home Health Agency
- Jackson, MS
- NPI 1730373275
-
- Women's Hospital
- Jackson, MS
- NPI 1285681841
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
-
- Home Health Agency
- Clinton, MS
- NPI 1356482749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1124180567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23666",
"city": "JACKSON",
"state": "MS",
"postal_code": "392253666",
"telephone_number": "601-200-4749",
"fax_number": "601-200-5929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5606 OLD CANTON RD",
"city": "JACKSON",
"state": "MS",
"postal_code": "392114217",
"telephone_number": "601-957-3333",
"fax_number": "601-957-3335"
}
],
"practiceLocations": [
{
"address_1": "1220 E Northside Dr Ste 220",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392115503",
"country_code": "US",
"telephone_number": "601-768-8275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELKNAP",
"first_name": "JOHN",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "19395",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03179741",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "john.belknap.1@29601.direct.athenahealth.com",
"affiliation": "N",
"address_1": "1220 E Northside Dr Ste 220",
"city": "Jackson",
"state": "MS",
"country_code": "US",
"postal_code": "392115503",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.