Individual provider Active NPI

John Clarence Ehrmann III, MD

  • Family Medicine Physician
  • Pensacola, FL
National Provider Identifier
1861691032
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME147137 Issued in FL
Practice address
5007 N Davis Hwy Ste 5
Pensacola, FL 32503-2303
Phone
(850) 610-8209
Fax
(844) 388-6186
NPI assigned
Jul 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 01063988A IN
Family Medicine Physician 207Q00000X ME147137 FL Primary

Addresses

Primary practice location

5007 N Davis Hwy Ste 5
Pensacola, FL 32503-2303

Mailing address

5007 N Davis Hwy Ste 5
Pensacola, FL 32503-2303
Phone (850) 610-8209

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
I20200925000469 FL Practitioner - General Practice 3274801899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Medical Associates LLCGroup PAC ID 0648271155, 162 clinicians

Practice addresses (Care Compare)

13940 N US Hwy 441
Suite 102
Lady Lake, FL 32159-8909
Phone (352) 751-9900

601 S Harbour Island Blvd
Suite 200
Tampa, FL 33602-5925

775 W Granada Blvd
Suite 102
Ormond Beach, FL 32174-5109
Phone (386) 672-4615

970 SW Saint Lucie W Blvd
Port St Lucie, FL 34986-1766
Phone (772) 249-1501

Hospital & facility affiliations

  • Ascension at Home Home health agency, Lynn Haven, FL, CCN 687314

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Associates LLC CurrentSince Nov 1, 2020 Accepting new patients
U.S. Marine Corps Forces Command Past Accepting new patients

Locations

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

425 W 19th St
Panama City, FL 32405
Phone (850) 344-1433

5007 N Davis Hwy
Ste 5
Pensacola, FL 32503
Phone (850) 610-8209

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

Interoperability endpoints

  • Direct secure messaging: john.ehrmann@sl.eclinicaldirectplus.com

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1861691032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 N DAVIS HWY STE 5",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032303",
            "telephone_number": "850-610-8209",
            "fax_number": "844-388-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 N DAVIS HWY STE 5",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032303",
            "telephone_number": "850-610-8209",
            "fax_number": "844-388-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRMANN",
        "first_name": "JOHN",
        "middle_name": "CLARENCE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01063988A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME147137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.