Mark W. Ernest, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME164216 Issued in FL

Practice address

5 Via de Luna Dr Unit I
Pensacola Beach, FL 32561-6809

Phone

(448) 216-6727

NPI assigned

Apr 4, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MT, FL, AL, TN4 enrollments

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 4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AL

  Medicare reassignment NPD
• Genesix, Inc.

  • Clinic/Center
  • Gulf Breeze, FL
  • NPI 1962282822
  NPD Authorized official
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MT, TN

  Medicare reassignment
• Rbi Wellness Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Loudon, TN
  • NPI 1083222640
  NPD
• Lewisburg Recovery Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lewisburg, TN
  • NPI 1861132904
  NPD (past)

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1821331273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 COQUINA WAY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632747",
            "telephone_number": "406-300-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 VIA DE LUNA DR UNIT I",
            "city": "PENSACOLA BEACH",
            "state": "FL",
            "postal_code": "325616809",
            "telephone_number": "448-216-6727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Loudon",
            "state": "TN",
            "postal_code": "377741309",
            "country_code": "US",
            "telephone_number": "865-657-9303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "980 W Highway 25 70",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "TN",
            "postal_code": "378219006",
            "country_code": "US",
            "telephone_number": "865-352-1274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERNEST",
        "first_name": "MARK",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "MD.36816",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MT",
            "license": "50575",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "53134",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME164216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Alberto Arrisueno, M.D.
• Susan Carol Bane, PHYSICAL THERAPIST
• James C Chaney, A.R.N.P.
• Child and Adolescent Psychological and Counseling Services of NW Florida, LLC
• Bonnie Dansby, NURSE PRACTITIONER
• Diana Galvis, INTERPRETER
• Mauricio Garzon, INTERPRETER
• Gulf Coast Mobile Medical Care LLC
• Bryan Joseph Leger, CRNA
• Timothy Wayne Ryschon, MD

• General Practice Physician in Pensacola Beach, FL
• Providers in Pensacola Beach, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.