Individual provider Active NPI

Marc H. Ferrera, M.D.

  • Adult Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1184672867
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME139058 Issued in FL
Practice address
6501 Arlington Expy Ste B105
Jacksonville, FL 32211-0810
Phone
(757) 752-0414
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X ME139058 FL Primary
Family Medicine Physician 207Q00000X 01061744A IN

Addresses

Primary practice location

6501 Arlington Expy Ste B105
Jacksonville, FL 32211-0810

Mailing address

112 Bartram Oaks Walk
St Johns, FL 32259-3266

Other practice location 1

6000 W Highway 98
Pensacola, FL 32512-0001
Phone (850) 505-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200406003160 FL Practitioner - Family Practice 2567760184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01061744AINMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1184672867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BARTRAM OAKS WALK",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322593266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 ARLINGTON EXPY STE B105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322110810",
            "telephone_number": "757-752-0414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 W Highway 98",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325120001",
            "country_code": "US",
            "telephone_number": "850-505-7171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRERA",
        "first_name": "MARC",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME139058",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01061744A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.