JOHN TYLER MCLENDON
NPI 1023580693
Nurse Anesthetist, Certified Registered in Jackson, MS
About John Tyler Mclendon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN TYLER MCLENDON (NPI 1023580693) is an individual nurse anesthetist, certified registered in Jackson, Mississippi, licensed in Mississippi (122134) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS, is affiliated with Mississippi Baptist Medical Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Tyler Mclendon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show John Mclendon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39201
- Reassigned Medicare billing, Mississippi enrollment
- 187 clinicians in this Medicare group
Jackson, MS 39202
- Reassigned Medicare billing, Mississippi enrollment
- 92 clinicians in this Medicare group
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 86 clinicians in this Medicare group
Oxford, MS 38655
- Reassigned Medicare billing, Mississippi enrollment
- 122 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mississippi Baptist Medical Center
Acute Care Hospitals · Jackson, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39204
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Mclendon's NPI number?
The NPI number for John Mclendon is 1023580693. It was assigned to this individual provider in the NPPES registry on December 20, 2018.
Where is John Mclendon located?
John Mclendon practices at 1850 Chadwick Dr, Jackson, MS 39204. The listed phone number is (601) 376-1000.
What is John Mclendon's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is John Mclendon enrolled in Medicare?
Yes. John Mclendon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for John Mclendon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Mclendon reassigns Medicare benefits to 4 organizations: Perioperative Services Of Mississippi, LLC (Jackson, MS), Jackson Anesthesia Associates PA (Jackson, MS), Physicians Anesthesia Group, P.A. (Jackson, MS) and Willow Anesthesia Services LLC (Oxford, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Mclendon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Mclendon accept?
Health plans from Blue Cross and Blue Shield of Alabama list John Mclendon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is John Mclendon affiliated with any hospitals?
According to CMS data, John Mclendon is affiliated with Mississippi Baptist Medical Center.
When was this NPI record last updated?
The NPPES record for John Mclendon was last updated on December 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John Tyler Mclendon · NPI 1023580693
Nurse Anesthetist, Certified Registered physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since December 20, 2018.
## Identity
- **NPI:** 1023580693 (Entity type: Individual)
- **Enumerated:** December 20, 2018
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 122134 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1850 CHADWICK DR, Jackson, MS 39204-3404
- **Phone:** (601) 376-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Perioperative Services Of Mississippi, LLC (NPI 1881123123, Jackson, MS); Jackson Anesthesia Associates PA (NPI 1780737577, Jackson, MS); Physicians Anesthesia Group, P.A. (NPI 1407890783, Jackson, MS); Willow Anesthesia Services LLC (NPI 1205169521, Oxford, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 20, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1023580693) · Data from the CMS NPPES public registry.