JOHN K. ENDSLEY MD – NPI #1417938432
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

JOHN ENDSLEY is a physician located in CLARKSVILLE, TN. NPPES has assigned the NPI number 1417938432 to JOHN ENDSLEY on November 08, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Oct 30, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN ENDSLEY below.

NPI Profile for
JOHN K. ENDSLEY

NPI Number
1417938432
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN K. ENDSLEY
Credentials
MD
Primary location
311 LANDRUM PLACE
STE 100
CLARKSVILLE, TN 37043
Phone: (931) 245-2090 Fax: (931) 245-2091
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Oct 30, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JOHN ENDSLEY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidTN3892497
medicaidTN3892498
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)
TN 23560

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JOHN ENDSLEY is affiliated with the following medical group(s):
  • HOSPITAL
    • JENNIE STUART MEDICAL CENTER
      320 WEST 18TH STREET
      HOPKINSVILLE, KY 42240
    • TENNOVA HEALTHCARE-CLARKSVILLE
      651 DUNLOP LANE
      CLARKSVILLE, TN 37040
  • DIALYSIS FACILITY
    • DAVITA CLARKSVILLE DIALYSIS
      231 HILLCREST DRIVE
      CLARKSVILLE, TN 37043
    • DAVITA CLARKSVILLE NORTH DIALYSIS
      3071 CLAY LEWIS ROAD
      CLARKSVILLE, TN 37040
    • DAVITA FORT CAMPBELL DIALYSIS
      1459 FORT CAMPBELL BLVD
      CLARKSVILLE, TN 37042

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