John A. Spence, M. D.
Individual provider Active NPI Family Medicine Physician · Marianna, FL
NPI 1497794796 · NPPES record last updated Nov 22, 2022
Key facts
- NPI
- 1497794796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 84174 (FL)
- Practice address
- 4284 Kelson Ave
Marianna, FL 32446-2948 - Phone
- (850) 482-2910
- Fax
- (850) 482-2836
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 18
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- ER Physician Group at Jackson Hospital
Practice addresses (Care Compare)
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200
Hospital & facility affiliations
- Enhabit Home Health
- Centerwell Home Health
- NHC Homecare
- Concierge Home Care
- Emerald Coast Hospice
- Vitas Healthcare Corporation of Florida
- Jackson Hospital
- Calhoun-Liberty Hospital
- Northwest Florida Community Hospital
- HCA Florida Gulf Coast Hospital
- Marianna Health and Rehabilitation
- Chipola Health and Rehabilitation Center
- Marianna Nursing and Care Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 12 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Marianna Health and Rehabilitation |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Feb 1, 2025 Feb 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081111000375 | FL | Practitioner - Family Practice | 7315006939 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84174 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ER Physician Group at Jackson Hospital | Current |
Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
1798 Georgia St
Alford, FL 32420
Phone (850) 526-6727
4284 Kelson Ave
Marianna, FL 32446
Phone (850) 482-2910
4896 Highway 90
Ste A
Marianna, FL 32446
Phone (850) 526-6700
4284 Kelson Ave
Ste 101
Marianna, FL 32446
4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200
Interoperability endpoints
- johnspence@jh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 84174 | FL | Yes |
Addresses
Primary practice location
4284 Kelson Ave
Marianna, FL 32446-2948
Mailing address
4284 Kelson Avenue
Marianna, FL 32446
Phone (850) 482-2910
Other practice location 1
1798 Georgia St
Alford, FL 32420-6800
Phone (850) 526-6727
Other practice location 2
4896 Highway 90 Ste A
Marianna, FL 32446-7840
Phone (850) 526-6700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00025788 | Other | MEDICARE RAILROAD | |
| 13614 | Other | FL | BLUECROSS BLUESHIELD FLORIDA |
| 264600500 | Medicaid | FL | |
| E8248Z | Other | FL | MEDICARE PTAN |
Other providers in Marianna, FL
- Susan M. Smith
- Staci Sneads
- South Alabama Diagnostic Imaging
- Southeast Cancer Care Network LLC
- Southern Roots Psychiatry Inc
- Steven Walter Spence
- Spires Behavioral Health Care Center, PLLC
- Willie Spires
- Leigh Ann Spooner
- Angelanell D Stephens
All providers in Marianna, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.