Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Grant Tyler Whittaker, MD

Individual provider Internal Medicine Physician · NPI 1073710992

Dr. Grant Tyler Whittaker, MD is a Gastroenterology in Fernandina Beach, Florida. Graduated from University of South Florida College of Medicine in 2007, 19 years ago. Practices with Borland Groover Clinic, PA, a 126-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama and Florida.

Years since qualifying
19
Trained at
University of South Florida College of Medicine
Licensed in
AL, FL
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1348 S 18th St Ste 100
Fernandina Beach, FL 32034-4755
Phone: (904) 261-0879
Fax: (904) 277-7054
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence ME105816 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD 30868 (AL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME 105816 (FL)

Record details

NPI number1073710992
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2007
Last updated in NPPESAugust 27, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Borland Groover Clinic, Pa — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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