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

Jack Moore Whitehead, MD

Individual provider Pediatrics Physician · NPI 1952834558

Jack Moore Whitehead, MD is a Pediatrics Physician in Brentwood, Tennessee. Licensed in Tennessee. Registered with an NPI since 2017.

Licensed in
TN
In the registry since
2017
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

1620 Westgate Cir
Brentwood, TN 37027-8035
Phone: (629) 255-2254
Fax: (629) 255-4262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 60997 (TN)

Record details

NPI number1952834558
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2017
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024

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