NPIMap

Individual provider Active NPI

Mark R Akerson, MD

  • Family Medicine Physician
  • Marianna, FL
National Provider Identifier
1699720367
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
84170 Issued in FL
Practice address
4284 Kelson Ave
Marianna, FL 32446-2948
Phone
(850) 482-2910
Fax
(850) 482-2836
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 84170 FL Primary

Addresses

Primary practice location

4284 Kelson Ave
Marianna, FL 32446-2948

Mailing address

4250 Hospital Dr
Marianna, FL 32446-1917
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 4

IdentifierTypeStateIssuer
13613OtherFLBLUECROSS BLUESHIELD FLORIDA
13613ZOtherFLMEDICARE PTAN
264599800MedicaidFL
P00042967OtherMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081111000352 FL Practitioner - Family Practice 1052470671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ER Physician Group at Jackson HospitalGroup PAC ID 8729059472, 153 clinicians

Practice addresses (Care Compare)

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Marianna, FL, CCN 109102
  • Concierge Home Care Home health agency, Panama City, FL, CCN 687029
  • Enhabit Home Health Home health agency, Blountstown, FL, CCN 109153
  • Emerald Coast Hospice Hospice, Panama City, FL, CCN 101537
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Jackson Hospital Hospital, Marianna, FL, CCN 100142
  • Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001
  • Calhoun-Liberty Hospital Hospital, Blountstown, FL, CCN 101304
  • Northwest Florida Community Hospital Hospital, Chipley, FL, CCN 101308
  • Marianna Nursing and Care Center Nursing home, Marianna, FL, CCN 105970
  • Chipola Health and Rehabilitation Center Nursing home, Marianna, FL, CCN 105729

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84170FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ER Physician Group at Jackson Hospital CurrentSince Oct 7, 2019 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

  • Direct secure messaging: markakerson@jh.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chipola Health and Rehabilitation CenterMarianna, FL, CCN 105729 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2022
Apr 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1699720367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 HOSPITAL DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461917",
            "telephone_number": "850-482-2910",
            "fax_number": "850-482-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4284 KELSON AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462948",
            "telephone_number": "850-482-2910",
            "fax_number": "850-482-2836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1798 Georgia St",
            "address_purpose": "LOCATION",
            "city": "Alford",
            "state": "FL",
            "postal_code": "324206800",
            "country_code": "US",
            "telephone_number": "850-526-6727",
            "fax_number": "850-526-1027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4896 Highway 90 Ste A",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324467840",
            "country_code": "US",
            "telephone_number": "850-526-6700",
            "fax_number": "850-526-6701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKERSON",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "84170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD FLORIDA",
            "identifier": "13613",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "13613Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264599800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00042967",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

Verify at the official NPI Registry.