John Lee Whitlock, M.D.
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Boone, NC
NPI 1790713451 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1790713451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- 28595 (NC)
- Practice address
- 136 Furman Rd
Suite 7
Boone, NC 28607-5038 - Phone
- (828) 262-0060
- Fax
- (828) 262-0062
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070831000567 | NC | Practitioner - Internal Medicine | 9638261761 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9984 | TN | MD | Clinical Social Worker |
| MD0000009984 | TN | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watauga Medical Center, Inc. | Current | Accepting new patients | |
| Charles a. Cannon, Jr. Memorial Hospital, Inc. | Current | Accepting new patients | |
| Charles a Cannon Jr Memorial Hospital Inc | Current |
Accepting new patients | |
| Charles a. Cannon, Jr. Memorial Hospital, Inc | Current | Accepting new patients | |
| Watauga Medical Center Inc | Current |
Accepting new patients | |
| Watauga Medical Center Inc | Current |
Accepting new patients | |
| Charles a. Cannon, Jr. Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Appalachian Regional Medical Associates Inc | Past | Accepting new patients | |
| Appalachian Regional Medical Associates | Past | Accepting new patients |
Locations
336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111
338 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
Interoperability endpoints
- johnwhitlock@arhs.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 28595 | NC | Yes |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD0000009984 | TN |
Addresses
Primary practice location
136 Furman Rd
Suite 7
Boone, NC 28607-5038
Mailing address
136 Furman Rd
Suite 7
Boone, NC 28607-5038
Phone (828) 262-0060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46417 | Other | TN | BCBS TN |
| 4176479 | Medicaid | TN | |
| 8987232 | Medicaid | NC | |
| 87232 | Other | NC | BCBS NC |
Other providers in Boone, NC
- Aaron A Westphal
- Alexis Nicole Whalley
- Stephanie Conner Whigham
- Adam Brock Whiteley
- Kelly Walsh Whiteley
- Kimberly Brooke Whitman
- Sierra Melina-Victoria Whitmire
- Marc Hamilton Whitt I
- David Stanton Whittaker Jr.
- Theresa Louise Whittington
All providers in Boone, NC · Geriatric Medicine (Internal Medicine) Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.