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Jonathan Taylor Colegrove

Pediatrics β€’ Eglin Afb, FL

Active NPI 1619553088 Individual Practitioner Male Practitioner
Practice location in NPPES

307 Boatner Rd Ste 114
Eglin Afb, FL 325421302

Call 8508838550 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

Telephone 8508838550
Organization at the Same NPPES Address or Phone
96th Medgrp-Eglin Facility NPI 1083012223

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Eglin Afb and Florida

7 active clinicians are listed under Pediatrics with a practice address in Eglin Afb, FL (4,001 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OH 34.017242

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Amber Allen , DO, MS

Obstetrics & Gynecology

NPI 1821445396

Doctor of Osteopathic Medicine (D.O.), Master of Science

NPI 1427439165

Doctor of Medicine (M.D.)

Terri Anderson , PA-C

Physician Assistant - Surgical

NPI 1902896848

Physician Assistant (Certified)

Brandy Arrol , FNP

Nurse Practitioner - Family

NPI 1073804472

Family Nurse Practitioner

Dr. Rhoda Lyn Aure , MD

Internal Medicine - Nephrology

NPI 1851554166

Doctor of Medicine (M.D.)

Christi Bader , RN

Nurse Practitioner

NPI 1487279659

Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location July 14, 2025

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838550)

πŸ“
Updated Business Mailing Address July 14, 2025

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838550)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2025

Pediatrics (license number reported to NPPES: OH 34.017242)

πŸ“
Updated Practice Location March 08, 2023

Registered at 4481 SUGAR MAPLE DR, DAYTON, OH 454335536 (Tel: 9375224784)

πŸ“
Updated Business Mailing Address March 08, 2023

Registered at 4481 SUGAR MAPLE DR, DAYTON, OH 454335536 (Tel: 9375224784)

βœ…
NPI Profile Active March 24, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 24, 2021

Registered at 1147 NW 64TH TER, GAINESVILLE, FL 326054218 (Tel: 3523335159)

πŸ“
Business Mailing Address (Initial Record) March 24, 2021

Registered at 1147 NW 64TH TER, GAINESVILLE, FL 326054218

πŸ‘€
Provider Name / Credentials (Initial Record) March 24, 2021

Recorded as JONATHAN COLEGROVE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 24, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619553088
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2021
Last Update: July 14, 2025
Sole Proprietor: No

Mailing Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

Phone: 8508838550

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.