Active NPI
Mikhail A Rybin, APRN
- Family Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5012957
- Practice address
- 3333 Wilkinson Blvd
Charlotte, NC 28208-5631 - Phone
- (704) 393-7720
- NPI assigned
- May 29, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 23487 | SC | |
| Family Nurse Practitioner | 363LF0000X | 5012957 | NC | Primary |
| Medical-Surgical Registered Nurse | 163WM0705X | RN264549 | GA |
Addresses
Primary practice location
3333 Wilkinson Blvd
Charlotte, NC 28208-5631
Mailing address
PO Box 740013
Atlanta, GA 30374-0013
Other practice location 1
1735 Heckle Blvd Unit M-S130
Rock Hill, SC 29732-4803
Phone (803) 659-3444
Other practice location 2
111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909
2375 Baker Hospital Blvd
North Charleston, SC 29405-8233
Phone (737) 226-6700
3333 Wilkinson Blvd
Charlotte, NC 28208-5631
Phone (704) 971-1494
6650 Rivers Ave
North Charleston, SC 29406-4809
Phone (337) 991-9276
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN264549 | GA | MD | Medical-Surgical Registered Nurse |
| 5012957 | NC | MD | Family Nurse Practitioner |
| 23487 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SC House Calls Inc | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients | |
| Oak Street Health Physicians Group of South Carolina, LLC | Family | Current | Accepting new patients |
| Zetapuppis and Pinecone PLLC | Current | Accepting new patients |
Locations
111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910
6119 White Horse Rd
Ste 14
Greenville, SC 29611
Phone (864) 614-7001
1735 Heckle Blvd
Unit MS130
Rock Hill, SC 29732
Phone (803) 659-3444
1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365
Interoperability endpoints
- mikhail.rybin.1@12412.direct.athenahealth.com
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.
-
- Family Medicine Physician
- Columbia, SC
- NPI 1518048859
-
- Family Nurse Practitioner
- North Charleston, SC
- NPI 1275915522
-
- Internal Medicine Physician
- North Charleston, SC
- NPI 1316477896
-
- Adult Health Nurse Practitioner
- Waxhaw, NC
- NPI 1518802974
-
- Primary Care Clinic/Center
- Greenville, SC
- NPI 1023614914
Family
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1780242412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740013",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303740013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 WILKINSON BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282085631",
"telephone_number": "704-393-7720"
}
],
"practiceLocations": [
{
"address_1": "1735 Heckle Blvd Unit M-S130",
"address_purpose": "LOCATION",
"city": "Rock Hill",
"state": "SC",
"postal_code": "297324803",
"country_code": "US",
"telephone_number": "803-659-3444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Doctor Cir",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036502",
"country_code": "US",
"telephone_number": "800-491-0909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYBIN",
"first_name": "MIKHAIL",
"middle_name": "A",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-29",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "23487",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5012957",
"primary": true
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "GA",
"license": "RN264549",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.