Organization Active NPI

John K. Endsley, MD, PC

  • Nephrology Physician
  • Clarksville, TN
National Provider Identifier
1144433376
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
023560 Issued in TN
Legal business name
JOHN K. ENDSLEY, MD, PC
Practice address
311 Landrum PL
Suite 100
Clarksville, TN 37043-6319
Phone
(931) 245-2090
Fax
(931) 245-2091
NPI assigned
May 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John K. Endsley, M.D.NPI 1417938432
Title
Owner
Phone
(931) 245-2090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 023560 TN Primary

Addresses

Primary practice location

311 Landrum PL
Suite 100
Clarksville, TN 37043-6319

Mailing address

311 Landrum PL
Suite 100
Clarksville, TN 37043-6319
Phone (931) 245-2090

National Provider Directory

National Provider Directory

Locations

451 Rossview Rd
Clarksville, TN 37043
Phone (931) 245-2090

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144433376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 LANDRUM PL",
            "address_2": "SUITE 100",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436319",
            "telephone_number": "931-245-2090",
            "fax_number": "931-245-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 LANDRUM PL",
            "address_2": "SUITE 100",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436319",
            "telephone_number": "931-245-2090",
            "fax_number": "931-245-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN K. ENDSLEY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENDSLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-245-2090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "023560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.