Active NPI
Robert Ryland Atkins, MD
- Family Medicine Physician
- Winter Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME124076
- Practice address
- 1201 1St St S Ste 100a
Winter Haven, FL 33880-3904 - Phone
- (863) 280-6080
- Fax
- (863) 229-7587
- NPI assigned
- Jun 3, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME124076 | FL | Primary |
| Family Medicine Physician | 207Q00000X | 43576 | KY |
Addresses
Primary practice location
1201 1St St S Ste 100a
Winter Haven, FL 33880-3904
Mailing address
2995 Drew St
Clearwater, FL 33759-3012
Phone (727) 315-7496
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100170420 | Medicaid | KY | |
| 015411000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME124076 | FL | MD | Family Medicine Physician |
| 43576 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collier Boulevard Hma Physician Management LLC | Family Medicine | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| University of Kentucky | Past | Accepting new patients |
Locations
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
2995 Drew St
Clearwater, FL 33759
Phone (727) 315-7496
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
8340 Collier Blvd
Ste 406
Naples, FL 34114
Phone (239) 354-4316
8340 Collier Blvd
Ste 200
Naples, FL 34114
Phone (239) 348-4538
1201 1st St S
Ste 100A
Winter Haven, FL 33880
Phone (863) 280-6080
Organizations & group practices 5
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.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
Family Medicine
-
- Family Medicine Physician
- Naples, FL
- NPI 1508098344
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1801022892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 DREW ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337593012",
"telephone_number": "727-315-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 1ST ST S STE 100A",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338803904",
"telephone_number": "863-280-6080",
"fax_number": "863-229-7587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINS",
"first_name": "ROBERT",
"middle_name": "RYLAND",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-03",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME124076",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "43576",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100170420",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015411000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.