Timothy D Jetton, M.D.
Individual provider Active NPI Family Medicine Physician · The Villages, FL
NPI 1295708139 · NPPES record last updated Aug 15, 2023
Key facts
- NPI
- 1295708139
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME86253 (FL)
- Practice address
- 1400 N US Highway 441 Ste 930
The Villages, FL 32159-6812 - Phone
- (352) 750-2108
- Fax
- (352) 750-1836
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36548 | KY | MD | Family Medicine Physician |
| 27450 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care FL Inc | Family Medicine | Current | Accepting new patients |
| Dna Center LLC | Past | Accepting new patients | |
| Express Care of Belleview, LLC | Family Medicine | Past | Accepting new patients |
| Central Florida Internists, Inc. | Family Medicine | Past | Accepting new patients |
| Ante Rudez MD PA | Family Medicine | Past | Accepting new patients |
| Orlando Family Physicians, LLC | Past |
Accepting new patients | |
| South Lake Internal Medicine PA | Past | Accepting new patients | |
| Collier Boulevard Hma Physician Management LLC | Family Medicine | Past | Accepting new patients |
| Southwest Alabama Emergency Physicians, LLC | Past | Accepting new patients | |
| Florida Department of Children and Families | Past | Accepting new patients | |
| Primary Care in Your Home LLC | Past | Accepting new patients | |
| Collier Hma Physician Management LLC | Family Medicine | Past | Accepting new patients |
| Florida Hospital Medical Group Inc | Past | Accepting new patients |
Locations
4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837
5997 S Goldenrod Rd
Orlando, FL 32822
Phone (407) 241-8957
Interoperability endpoints
- tjetton@centerwell.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME86253 | FL | Yes |
Addresses
Primary practice location
1400 N US Highway 441 Ste 930
The Villages, FL 32159-6812
Mailing address
1400 N US Highway 441 Ste 930
The Villages, FL 32159-6812
Phone (352) 750-2108
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | TJetton@centerwell.com | Direct |
Other providers in The Villages, FL
- Courtney Lynne Jans
- Sharon McKinney Jaquith
- Hamsa Patricia Jayaraj
- Tara Maria Jennings Irwin
- Jet Maids Inc
- Falon Melissa Jimenez Irwin
- John a Giglio DO PA
- John C Theeck DC PA
- John H Kuzman MD PA
- Dawn Johnson
All providers in The Villages, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.