Active NPI
Mark Alfred Enderle, MD
- Internal Medicine Physician
- Jackson, MS
National Provider Identifier
1477598522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N-6348
- Practice address
- 1600 E Woodrow Wilson Ave
Third Floor Suite a
Jackson, MS 39216-5100 - Phone
- (601) 364-7861
- NPI assigned
- Jun 20, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | N-6348 | AR | Primary |
Addresses
Primary practice location
1600 E Woodrow Wilson Ave
Third Floor Suite a
Jackson, MS 39216-5100
Mailing address
620 Highleadon PL
Madison, MS 39110-7655
Phone (601) 421-3671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N-6348 | AR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477598522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 HIGHLEADON PL",
"city": "MADISON",
"state": "MS",
"postal_code": "391107655",
"telephone_number": "601-421-3671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 E WOODROW WILSON AVE",
"address_2": "THIRD FLOOR SUITE A",
"city": "JACKSON",
"state": "MS",
"postal_code": "392165100",
"telephone_number": "601-364-7861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDERLE",
"first_name": "MARK",
"middle_name": "ALFRED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "N-6348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.