Individual provider Active NPI

Jennifer Vital Whitfield, MD

  • General Practice Physician
  • Defuniak Springs, FL
National Provider Identifier
1396384582
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1230 Issued in FL
Practice address
1045 US Highway 331 S
Defuniak Springs, FL 32435-3379
Phone
(850) 892-3366
NPI assigned
Jan 5, 2020
Sex
Female
Sole proprietor
Yes

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 021561 PR
General Practice Physician 208D00000X ACN1230 FL Primary

Addresses

Primary practice location

1045 US Highway 331 S
Defuniak Springs, FL 32435-3379

Mailing address

1005 Mar Walt Dr
Fort Walton Beach, FL 32547-6707
Phone (850) 863-8150

Other practice location 1

2001 E Highway 20
Niceville, FL 32578-8826
Phone (850) 897-4400

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
I20200304002642 FL Practitioner - General Practice 7810324720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
White-Wilson Medical Center PAGroup PAC ID 4082510607, 48 clinicians
North Florida Medical Centers IncGroup PAC ID 6103737697, shared by 10 NPIs, 20 clinicians

Practice addresses (Care Compare)

1045 US Hwy 331 N
Suite D
Defuniak Springs, FL 32433-4664
Phone (850) 863-8100

1328 Coastal Hwy
Panacea, FL 32346-2151
Phone (850) 984-4735

800 Hospital Dr
Crestview, FL 32539-7385
Phone (850) 682-1164

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Shalimar, FL, CCN 107240
  • Amedisys Home Health Home health agency, Pensacola, FL, CCN 108309
  • HCA Florida Twin Cities Hospital Hospital, Niceville, FL, CCN 100054
  • Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292
  • HCA Florida Fort Walton-Destin Hospital Hospital, Fort Walton Beach, FL, CCN 100223
  • North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1230FLMDGeneral Practice Physician
021561PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White-Wilson Medical Center PA Single Specialty CurrentSince Sep 15, 2025 Accepting new patients

Locations

130 E Redstone Ave
Crestview, FL 32539
Phone (850) 398-8725

1045 US Highway 331 S
Ste D
Defuniak Springs, FL 32435
Phone (850) 892-3366

1045 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-1345

1005 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-8100

2001 E Highway 20
Niceville, FL 32578
Phone (850) 897-4400

Interoperability endpoints

  • Direct secure messaging: jennifer.whitfield.1@21123.direct.athenahealth.com
  • Direct secure messaging: jennifer.whitfield@nfmc.eclinicaldirectplus.com

Organizations & group practices 2

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

Hospital & facility affiliations 6

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": "1578182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1396384582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476707",
            "telephone_number": "850-863-8150",
            "fax_number": "850-863-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 US HIGHWAY 331 S",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324353379",
            "telephone_number": "850-892-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 E Highway 20",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325788826",
            "country_code": "US",
            "telephone_number": "850-897-4400",
            "fax_number": "850-897-0623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITFIELD",
        "first_name": "JENNIFER",
        "middle_name": "VITAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-05",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "021561",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Defuniak Springs, FL

Sources for this page

Verify at the official NPI Registry.