Individual provider Active NPI

Joyce B. Ravain, M.D.

  • Emergency Medicine Physician
  • Ormond Beach, FL
National Provider Identifier
1215980230
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME36830 Issued in FL
Practice address
264 S Atlantic Ave
Ormond Beach, FL 32176-8149
Phone
(386) 676-6444
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME36830 FL Primary

Addresses

Primary practice location

264 S Atlantic Ave
Ormond Beach, FL 32176-8149

Mailing address

PO Box 809
Flagler Beach, FL 32136-0809

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
I20061102000518 FL Practitioner - Emergency Medicine 2062419153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7011 A C Skinner Pkwy
Suite 145
Jacksonville, FL 32256-6954
Phone (904) 300-3400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue989
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WCS Professional Services of Florida, LLC CurrentSince Nov 28, 2019 Accepting new patients
Reflections Wound Care and Wellness Centers CurrentSince Mar 12, 2022 Accepting new patients
Emergency Physicians Inc Emergency Medicine PastSince Jun 15, 2023 Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients

Locations

7011 A C Skinner Pkwy
Ste 145
Jacksonville, FL 32256
Phone (904) 300-3400

7643 Gate Pkwy
Unit 1049
Jacksonville, FL 32256

3 Shircliff Way
Ste 520
Jacksonville, FL 32204
Phone (904) 308-2273

1658 St Vincents Way
Ste 120
Middleburg, FL 32068
Phone (904) 602-1000

Organizations & group practices 6

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1215980230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321360809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 S ATLANTIC AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321768149",
            "telephone_number": "386-676-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVAIN",
        "first_name": "JOYCE",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME36830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.