Individual provider Active NPI

Ryan William Novince, MD, MS

  • Internal Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1164865259
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME137380 Issued in FL
Practice address
1618 Mahan Center Blvd Ste 103
Tallahassee, FL 32308-5476
Phone
(850) 999-2996
Fax
(850) 536-6439
NPI assigned
Apr 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-128949 OH
Internal Medicine Physician 207R00000X MD52572 SC
Internal Medicine Physician 207R00000X ME137380 FL Primary

Addresses

Primary practice location

1618 Mahan Center Blvd Ste 103
Tallahassee, FL 32308-5476

Mailing address

1618 Mahan Center Blvd Ste 103
Tallahassee, FL 32308-5476
Phone (850) 999-2996

Other identifiers 5

IdentifierTypeStateIssuer
ME137380OtherFLFLORIDA MEDICAL LICENSE
35128949OtherOHOHIO MEDICAL LICENSE - FULL
81084OtherGAGEORGIA MEDICAL LICENSE
0170745MedicaidOH
MD52572OtherSCSOUTH CAROLINA PERMANENT MEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rnovince@getvipcare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160720001437 OH Practitioner - Internal Medicine 6204062029 Reassigns benefits to 1 organization
I20200219002203 FL Practitioner - Internal Medicine 6204062029 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME137380FLMDInternal Medicine Physician
35-128949OHMDInternal Medicine Physician
MD52572SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Psychiatric Services, LLC Internal Medicine CurrentSince Jun 23, 2024 Accepting new patients
Lifespan Psychiatric Services LLC Internal Medicine CurrentSince Feb 4, 2024 Accepting new patients
Florida Medical Associates LLC CurrentSince Sep 12, 2022 Accepting new patients
The Metrohealth System Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
The Metrohealth System CurrentSince Jul 1, 2016 Accepting new patients
The Metrohealth System Past Accepting new patients
Vipcare Dental PLLC PastSince Sep 1, 2022 Accepting new patients

Locations

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

6510 Caroline St
Milton, FL 32570
Phone (850) 783-4611

3606 Maclay Blvd S
Ste 102
Tallahassee, FL 32312
Phone (850) 877-1162

1618 Mahan Center Blvd
Ste 103
Tallahassee, FL 32308
Phone (850) 999-2996

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

3838 W 150th St
Cleveland, OH 44111
Phone (216) 957-5000

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1164865259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 MAHAN CENTER BLVD STE 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085476",
            "telephone_number": "850-999-2996",
            "fax_number": "850-536-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 MAHAN CENTER BLVD STE 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085476",
            "telephone_number": "850-999-2996",
            "fax_number": "850-536-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVINCE",
        "first_name": "RYAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-128949",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "MD52572",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME137380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME137380",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAL LICENSE - FULL",
            "identifier": "35128949",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA MEDICAL LICENSE",
            "identifier": "81084",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0170745",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA PERMANENT MEDICAL LICENSE",
            "identifier": "MD52572",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rnovince@getvipcare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6510 Caroline St",
            "city": "Milton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325704778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.