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

Dr. Mallory C Whitley, MD

Individual provider Family Medicine Physician · NPI 1861913592

Dr. Mallory C Whitley, MD is a Family Practice in Jacksonville, Florida. Graduated from Saint Louis University School of Medicine in 2017, 9 years ago. Practices with Baptist Primary Care Inc, a 457-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
9
Trained at
Saint Louis University School of Medicine
Licensed in
FL
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4844 Deer Lake Dr W Ste 1
Jacksonville, FL 32246-4506
Phone: (904) 738-8690
Fax: (904) 390-7426
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME137670 (FL)

Record details

NPI number1861913592
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 3, 2017
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address4844 Deer Lake Dr W, Jacksonville, FL 32246-4406

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Baptist Primary Care Inc — 457 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Jacksonville