Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

John A. Spence, MD

Individual provider Family Medicine Physician · NPI 1497794796

John A. Spence, MD is registered under Family Practice in Marianna, Florida. Qualified in 1998, 28 years ago. Practices with ER Physician Group at Jackson Hospital, a 148-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
28
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4284 Kelson Ave
Marianna, FL 32446-2948
Phone: (850) 482-2910
Fax: (850) 482-2836
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1798 Georgia St, Alford, FL 32420-6800 — (850) 526-6727
  • 4896 Highway 90 Ste A, Marianna, FL 32446-7840 — (850) 526-6700

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 84174 (FL)

Record details

NPI number1497794796
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESSeptember 29, 2026
Certification dateNovember 22, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Er Physician Group At Jackson Hospital — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Removal of skin lesions 12 times · 59th percentile
Removal of nail tissue 1–10 times
Removal or shaving of skin growth 1–10 times
Skin biopsy 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients430
Services billed 2,667 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $2,261 117 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at ER Physician Group at Jackson Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 148 clinicians in the practice; 12 are shown here.

Other providers in Marianna