Individual provider Active NPI

Juvenal Havyarimana, M.D.

  • Emergency Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1194187310
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
138597 Issued in FL
Practice address
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone
(850) 325-5000
NPI assigned
Mar 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 81353 GA
Emergency Medicine Physician 207P00000X 1821 TX
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 138597 FL Primary

Addresses

Primary practice location

2626 Capital Medical Blvd
Tallahassee, FL 32308

Mailing address

9901 Waters Meet Dr
Tallahassee, FL 32312-3747
Phone (325) 733-3524

Other practice location 1

655 W 8th St
Jacksonville, FL 32209-6511
Phone (904) 244-4106

Other practice location 2

655 W 8th St
Jacksonville, FL 32209-6511
Phone (904) 244-4106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, 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
I20181205002531 GA Practitioner - Emergency Medicine 0446544233 Reassigns benefits to 1 organization
I20190709000028 FL Practitioner - Emergency Medicine 0446544233 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

12100 S John Young Pkwy
HCA Florida Osceola Hunters Creek Emergency
Orlando, FL 32837-7606
Phone (407) 903-7033

462541 State Rd
Suite 200
Yulee, FL 32097-5421
Phone (904) 391-6300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
138597FLMDEmergency Medicine Physician
81353GAMDEmergency Medicine Physician
1821TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Oliver Emergency Group, LLC Emergency Medicine Current Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Dec 16, 2025 Accepting new patients
Lake Oliver Emergency Group, LLC Emergency Medicine CurrentSince Jun 16, 2022 Accepting new patients
Lake Oliver Emergency Group, LLC Emergency Medicine CurrentSince Jun 16, 2022 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Dec 16, 2025 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
South Georgia Emergency Medicine Associates PC Emergency Medicine CurrentSince Nov 1, 2021 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Sep 23, 2024 Accepting new patients
Tampa Bay Emergency Physicians-Heartland LLC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

12100 S John Young Pkwy
Orlando, FL 32837
Phone (407) 240-0129

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402

462541 State Road 200
Yulee, FL 32097
Phone (904) 391-6300

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

Organizations & group practices 9

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 10

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": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1194187310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 WATERS MEET DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323123747",
            "telephone_number": "325-733-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-325-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322096511",
            "country_code": "US",
            "telephone_number": "904-244-4106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322096511",
            "country_code": "US",
            "telephone_number": "904-244-4106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAVYARIMANA",
        "first_name": "JUVENAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-26",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "81353",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "1821",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "138597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.