JOHN D BELKNAP (MD) – Family Medicine Physician, NPI 1124180567

JOHN D BELKNAP (MD) is a healthcare provider. based in Jackson, Mississippi. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 19395 (MS). The NPI Number for JOHN D BELKNAP (MD) is 1124180567

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JOHN D BELKNAP (MD)
NPI
1124180567
Phone
(601) 768-8275
Address
1220 E Northside Dr Ste 220
Enumeration Date
14 December 2006
Last Update Date
6 May 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
6016197717
Graduation Year
2004 (22 years ago)
PAC ID
5597851972
Group Practice PAC ID
6709245954
Professional Enrollment ID
I20071017000043
Address ID
MS391833438VI4204XSTXX300

Contacts

Secure Messaging
john.belknap.1@29601.direct.athenahealth.com
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:19State licenses:1Other names

939 FAMILY PRACTICE in MS

Provider Addresses for JOHN D BELKNAP (MD)

  • 1220 E Northside Dr Ste 220

    Jackson, MS 392115503

    Phone: (601) 768-8275

    Type: Location

  • PO BOX 23666

    JACKSON, MS 392253666

    Phone: (601) 200-4749

    Fax: (601) 200-5929

    Type: Mailing

  • 5606, Old Canton Road, Rolling Meadows, Jackson, Hinds County, Mississippi, 39211, United States

    JACKSON, MS 392114217

    Phone: (601) 957-3333

    Fax: (601) 957-3335

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $156.

Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novo Nordisk Inc ($34).

Total Amount

$156

General + Research + Ownership

Payments

10

Total payment records

General Amount

$156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071017000043IFamily PracticeMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes428216$0
99213Established patient office or other outpatient visit, 20-29 minutes364175$0
36415Insertion of needle into vein for collection of blood sample339183$0
J0696Injection, ceftriaxone sodium, per 250 mg21235$0
J1100Injection, dexamethasone sodium phosphate, 1 mg16819$0
View full utilization report →

Insurance plans in this area (ZIP 39211)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709245954View full group profile
NameSpecialtyState
Emergency MedicineMS
Family Practice, Emergency MedicineMS
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerTX
Nurse PractitionerMS
Family PracticeMS
Nurse PractitionerMS
Physician AssistantMS
Family PracticeMS

Reviews

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Frequently asked questions

What identifier follows JOHN D BELKNAP (MD) across health systems?
The NPI 1124180567 uniquely identifies JOHN D BELKNAP (MD) in U.S. healthcare data.
Quick check: is JOHN D BELKNAP (MD) active?
Public NPPES data shows JOHN D BELKNAP (MD) with an active NPI status right now.
What type of care does JOHN D BELKNAP (MD) provide?
JOHN D BELKNAP (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOHN D BELKNAP (MD)?
JOHN D BELKNAP (MD) is associated with Jackson, Mississippi in the same public data insurers reference.
Why is information missing for JOHN D BELKNAP (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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