Individual provider Active NPI

Jennifer Anastasia Whitelock, MD, MPH

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1477896314
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME169123 Issued in FL
Practice address
4425 Merrimac Ave
Jacksonville, FL 32210-1850
Phone
(904) 431-0700
Fax
(904) 212-0780
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME169123 FL Primary

Addresses

Primary practice location

4425 Merrimac Ave
Jacksonville, FL 32210-1850

Mailing address

4425 Merrimac Ave
Jacksonville, FL 32210-1850
Phone (904) 431-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200420000573 TX Practitioner - Obstetrics/Gynecology 2264862085
I20240709001782 FL Practitioner - Obstetrics/Gynecology 2264862085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Northwestern University Feinberg Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

1510 Riverplace Blvd
Jacksonville, FL 32207-9017
Phone (904) 346-0050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Feb 1, 2025 Accepting new patients
OB GYN Care Past Accepting new patients
Womencare PA Past Accepting new patients
OBGYN Care PA Obstetrics & Gynecology PastSince Jan 11, 2015 Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

1510 Riverplace Blvd
Jacksonville, FL 32207
Phone (800) 807-7090

4425 Merrimac Ave
Jacksonville, FL 32210
Phone (904) 346-0050

4181 Southpoint Dr E
Ste 300
Jacksonville, FL 32216
Phone (904) 346-0050

14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jennifer.whitelock.1@2183.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1477896314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 MERRIMAC AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101850",
            "telephone_number": "904-431-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 MERRIMAC AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101850",
            "telephone_number": "904-431-0700",
            "fax_number": "904-212-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITELOCK",
        "first_name": "JENNIFER",
        "middle_name": "ANASTASIA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME169123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.