Individual provider Active NPI

Nicholas Govsyeyev, MD

  • Vascular Surgery Physician
  • Tallahassee, FL
National Provider Identifier
1629431036
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME167076 Issued in FL
Practice address
2631 Centennial Blvd Ste 100
Tallahassee, FL 32308-0591
Phone
(850) 877-8539
Fax
(850) 877-6674
NPI assigned
Apr 2, 2016
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Vascular Surgery Physician 2086S0129X ME167076 FL Primary

Addresses

Primary practice location

2631 Centennial Blvd Ste 100
Tallahassee, FL 32308-0591

Mailing address

2631 Centennial Blvd Ste 100
Tallahassee, FL 32308-0591
Phone (850) 877-8539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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
I20240812001560 FL Practitioner - Vascular Surgery 2961794078 Reassigns benefits to 1 organization
I20250113002606 GA Practitioner - Vascular Surgery 2961794078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of South Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiothoracic and Vascular Surgical Associates PAGroup PAC ID 5395725188, 85 clinicians

Practice addresses (Care Compare)

2631 Centennial Blvd
Suite 100
Tallahassee, FL 32308-0591
Phone (850) 877-8539

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)22
Removal of tissue27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME167076FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiothoracic & Vascular Surgical Associates PA Vascular Surgery CurrentSince Aug 1, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1032 Mar Walt Dr
Unit 250
Ft Walton Bch, FL 32547
Phone (850) 682-0032

1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

555 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 431-5360

2631 Centennial Blvd
Ste 100
Tallahassee, FL 32308
Phone (850) 877-8539

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

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 4

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": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1629431036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 CENTENNIAL BLVD STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080591",
            "telephone_number": "850-877-8539",
            "fax_number": "850-877-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 CENTENNIAL BLVD STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080591",
            "telephone_number": "850-877-8539",
            "fax_number": "850-877-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVSYEYEV",
        "first_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-02",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME167076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.