Organization Active NPI

Avia Total Health PLLC

  • Family Medicine Physician
  • West Melbourne, FL
National Provider Identifier
1386454080
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AVIA TOTAL HEALTH PLLC
Doing business as
Avia Total Health PLLC
Practice address
4195 W New Haven Ave Ste 7
West Melbourne, FL 32904-1701
Phone
(321) 266-7485
Fax
(321) 290-9983
NPI assigned
Jan 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Dr. Christopher Thaver, MDNPI 1407334675
Title
Owner/Physician
Phone
(321) 266-7485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

4195 W New Haven Ave Ste 7
West Melbourne, FL 32904-1701

Mailing address

3630 Meadowlark Way
Melbourne, FL 32904-9502
Phone (321) 266-7485

Other names 1

  • Avia Total Health PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250227001940 FL Part B Supplier - Clinic/Group Practice 8921528415 Receives reassigned benefits from 2 practitioners
Practice locations: West Melbourne, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2322725Avia Total Health PLLC4195 W New Haven St, Ste 7, West Melbourne, FL 32904Certificate of waiverApr 24, 2027

National Provider Directory

National Provider Directory

Locations

4195 W New Haven Ave
Ste 7
West Melbourne, FL 32904
Phone (321) 266-7485

Practitioners & affiliated clinicians

Practitioners 2

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": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1386454080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 MEADOWLARK WAY",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329049502",
            "telephone_number": "321-266-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 W NEW HAVEN AVE STE 7",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329041701",
            "telephone_number": "321-266-7485",
            "fax_number": "321-290-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIA TOTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "THAVER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "321-266-7485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avia Total Health PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.