Organization Active NPI

Aviv Villages LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • The Villages, FL
National Provider Identifier
1184404642
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
Legal business name
AVIV VILLAGES LLC
Doing business as
Aviv Clinics
Practice address
2955 Brownwood Blvd Ste 100
The Villages, FL 32163-2040
Phone
(407) 417-4631
NPI assigned
Oct 3, 2023
Organization subpart
Yes
Parent organization
AVIV USA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Mr. Dion Atchison
Title
Coo
Phone
(407) 417-4631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0011X Primary

Addresses

Primary practice location

2955 Brownwood Blvd Ste 100
The Villages, FL 32163-2040

Mailing address

2955 Brownwood Blvd Ste 100
The Villages, FL 32163-2040
Phone (407) 417-4631

Other names 1

  • Aviv Clinics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260311003898 FL Part B Supplier - Clinic/Group Practice 7113400797 Receives reassigned benefits from 1 practitioner
Practice locations: The Villages, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1184404642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 BROWNWOOD BLVD STE 100",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632040",
            "telephone_number": "407-417-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 BROWNWOOD BLVD STE 100",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632040",
            "telephone_number": "407-417-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIV VILLAGES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVIV USA LLC",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "ATCHISON",
        "authorized_official_first_name": "DION",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "407-417-4631",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aviv Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.