Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619553088 Individual Practitioner Male Practitioner

Jonathan Taylor Colegrove

Pediatrics • Eglin Afb, FL

Professional Overview & Biography Verified Profile Summary

Jonathan Colegrove is a registered healthcare professional specializing in Pediatrics in Eglin Afb, FL. Practice services are available at 307 BOATNER RD STE 114 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

Telephone 8508838550
Associated Practice Facility / Clinic
🏢 96th Medgrp-Eglin Facility NPI 1083012223

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Eglin Afb, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Eglin Afb, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Adrienne Chipps , MD

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1255531448

Doctor of Medicine (M.D.)

NPI 1265606701

Doctor of Osteopathic Medicine (D.O.)

Wanda Hoffman , ARNP

Nurse Practitioner - Pediatrics

NPI 1306830880

Advanced Registered Nurse Practitioner

Chelsea Wood , NP

Nurse Practitioner - Pediatrics

NPI 1477121374

Nurse Practitioner

Alice Shepard , PNP-BC

Nurse Practitioner - Pediatrics

NPI 1629333208

Pediatric Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location July 14, 2025

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

📍
Updated Business Mailing Address July 14, 2025

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

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

Pediatrics (License #34.017242 in OH)

📍
Updated Practice Location March 08, 2023

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

📍
Updated Business Mailing Address March 08, 2023

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

NPI Profile Active March 24, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2021

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

📍
Updated Business Mailing Address March 24, 2021

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

👤
Provider Name / Credentials Updated March 24, 2021

Recorded as JONATHAN COLEGROVE

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.