Individual provider Active NPI

Jennifer John

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1114375409
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS16147 Issued in FL
Practice address
21 Columbia St Ste 201
Orlando, FL 32806-1133
Phone
(321) 841-3900
NPI assigned
May 27, 2016
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10057689 TX
Family Medicine Physician 207Q00000X OS16147 FL Primary

Addresses

Primary practice location

21 Columbia St Ste 201
Orlando, FL 32806-1133

Mailing address

21 Columbia St Ste 201
Orlando, FL 32806-1133

Other practice location 1

605 S Conroe Medical Dr
Conroe, TX 77304-4722
Phone (936) 523-2440

Other practice location 2

180 SW 84th Ave Ste B
Plantation, FL 33324
Phone (844) 665-4827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190731000677 FL Practitioner - Family Practice 5193016434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

21 Columbia St
Suite 201
Orlando, FL 32806-1133
Phone (321) 841-6600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
BP10057689TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC Family Medicine CurrentSince Dec 14, 2022 Accepting new patients
Orlando Physicians Network Inc Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
VMD Primary Providers Central Florida PLLC Family Medicine CurrentSince Dec 14, 2022 Accepting new patients

Locations

4404 S Highway 27
Clermont, FL 34711

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

21 Columbia St
Ste 201
Orlando, FL 32806
Phone (321) 841-0746

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1114375409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 COLUMBIA ST STE 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 COLUMBIA ST STE 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061133",
            "telephone_number": "321-841-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 S Conroe Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773044722",
            "country_code": "US",
            "telephone_number": "936-523-2440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 SW 84th Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "33324",
            "country_code": "US",
            "telephone_number": "844-665-4827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10057689",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS16147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.