Individual provider Active NPI

Christopher Thaver, MD

  • Family Medicine Physician
  • West Melbourne, FL
National Provider Identifier
1407334675
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME151298 Issued in FL
Practice address
4195 W New Haven Ave Ste 7
West Melbourne, FL 32904-1701
Phone
(321) 491-2842
Fax
(321) 290-9983
NPI assigned
Jul 31, 2018
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME151298 FL Primary

Addresses

Primary practice location

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

Mailing address

4195 W New Haven Ave Ste 7
West Melbourne, FL 32904-1701
Phone (321) 491-2842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210702002296 FL Practitioner - Family Practice 9133520729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Morehouse School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avia Total Health PLLCGroup PAC ID 8921528415, 2 clinicians

Practice addresses (Care Compare)

4195 W New Haven Ave
Suite 7
West Melbourne, FL 32904-1701
Phone (321) 266-7485

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avia Total Health PLLC Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Suntree Endocrinology Current Accepting new patients
Suntree Internal Medicine, LLC. Family Medicine CurrentSince Jun 30, 2021 Accepting new patients
Phoebe Putney Memorial Hospital Family Medicine Past Accepting new patients

Locations

6619 N Wickham Rd
Melbourne, FL 32940
Phone (321) 259-9500

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

Interoperability endpoints

  • Direct secure messaging: cthaver71802@epicdirect.hf.org

Organizations & group practices 4

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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1407334675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 W NEW HAVEN AVE STE 7",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329041701",
            "telephone_number": "321-491-2842",
            "fax_number": "321-290-9983"
        },
        {
            "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": "321-491-2842",
            "fax_number": "321-290-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAVER",
        "first_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-31",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME151298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Melbourne, FL

Sources for this page

Verify at the official NPI Registry.