NPIMap

Individual provider Active NPI

Norman S Novis, MD

  • Internal Medicine Physician
  • Lady Lake, FL
National Provider Identifier
1235331125
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME98440 Issued in FL
Practice address
801 Highway 466
Suite B101
Lady Lake, FL 32159-3925
Phone
(352) 633-7649
Fax
(352) 633-7694
NPI assigned
Jun 3, 2007
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME98440 FL Primary

Addresses

Primary practice location

801 Highway 466
Suite B101
Lady Lake, FL 32159-3925

Mailing address

PO Box 658
Fruitland Park, FL 34731-0658
Phone (352) 633-7649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071203000489 FL Practitioner - Internal MedicinePractitioner - Undersea and Hyperbaric Medicine 6103915863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Norman S Novis MD PAGroup PAC ID 6204080146, 4 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

11962 County Rd
101 Suite 104
The Villages, FL 32162-9336
Phone (352) 693-3378

1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971

2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378

801 Hwy 466
Suite B101
Lady Lake, FL 32159-3925
Phone (352) 633-7649

8768 SE 165TH Mulberry LN
Cora Physical Therapy Mulberry Lane
The Villages, FL 32162-5861
Phone (352) 329-5237

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal161
Melanoma (skin cancer) excision1-10
Removal of tissue83
Removal of skin lesions89
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME98440FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norman S Novis MD PA Internal Medicine CurrentSince Dec 15, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

801 Highway 466
Ste B101
Lady Lake, FL 32159
Phone (352) 459-8121

5470 Spencer Ct
Wildwood, FL 34785
Phone (352) 633-7649

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACEAED/Endpoint/ACEAED

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1235331125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347310658",
            "telephone_number": "352-633-7649",
            "fax_number": "352-633-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HIGHWAY 466",
            "address_2": "SUITE B101",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593925",
            "telephone_number": "352-633-7649",
            "fax_number": "352-633-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVIS",
        "first_name": "NORMAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-03",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME98440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.