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

Dr. Jack H Whitaker, MD

Individual provider Cardiovascular Disease Physician · NPI 1922064047

Dr. Jack H Whitaker, MD is a Cardiovascular Disease (Cardiology) in Greeneville, Tennessee. Graduated from East Tennessee State University Quillen College of Medicine in 1989, 37 years ago. Practices with Wellmont Cardiology Services, a 138-clinician group and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
37
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
TN, VA
In the registry since
2006
Specialties on file
2
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

1410 Tusculum Blvd Ste 1500
Greeneville, TN 37745
Phone: (423) 638-2270
Fax: (423) 928-0219
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 20931 (TN)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 0101245897 (VA)

Record details

NPI number1922064047
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024
Mailing address105 W Stone Dr, Suite 6a, Kingsport, TN 37660-3365

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Wellmont Cardiology Services — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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