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Adventist Health System-Sunbelt Inc

Organization Active NPI Rural Health Clinic/Center · Avon Park, FL

NPI 1881850956 · NPPES record last updated Oct 10, 2025

Key facts

NPI
1881850956
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
License
4171 (FL)
Legal business name
ADVENTIST HEALTH SYSTEM-SUNBELT INC
Practice address
1006 W Pleasant St
Avon Park, FL 33825-2966
Phone
(863) 453-3121
Fax
(863) 452-2823
NPI assigned
Jul 29, 2008
Organization subpart
Yes
Parent organization (as reported)
ADVENTIST HEALTH SYSTEM-SUNBELT INC

Authorized official

Name
Jason Dunkel
Title
Ceo
Phone
(863) 402-3366

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 88

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 88

Practitioners 154

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

View all 154

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in FL

Rural health clinic certification: CCN 103449

Legal name
ADVENTIST HEALTH SYSTEM-SUNBELT INC
Doing business as
ADVENTHEALTH FAMILY AND LIFESTYLE MEDICINE AVON PARK
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 1, 2010
Last certification
Aug 15, 2019
Ownership / control type
2B
Organization structure
Corporation · Non-profit
Enrollment address
1006 W Pleasant St
Avon Park, FL 33825-2966
Related CCNs
100109

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jason Dunkel
Individual 		Contracted Managing Employee Jul 31, 2022
Corporate Officer
Board Secretary		 Dec 8, 2022
Corporate Director
Director		 Aug 25, 2022
Operational/Managerial Control
Ceo		 Jul 31, 2022
Fred Hawkins
Individual 		Corporate Director
Director		 Dec 7, 2023
Dini H Rada
Individual 		Corporate Director
Director		 Aug 22, 2024
Richard K Justice
Individual 		Corporate Director
Director		 Sep 18, 2008
William Chen
Individual 		Corporate Director
Director		 Feb 17, 2022
William a Fields
Individual 		Corporate Director
Director		 Feb 16, 2023
Terry Atchley
Individual 		Corporate Director
Director		 Dec 5, 2013
Witford L Reid
Individual 		Corporate Director
Director		 Aug 22, 2024
Jeffrey Chilson
Individual 		Contracted Managing Employee
Cfo		 Sep 15, 2025
Corporate Officer
Cfo		 Sep 15, 2025
Operational/Managerial Control
Cfo		 Sep 15, 2025
Timothy Clark
Individual 		Corporate Director
Director		 Dec 8, 2022
Penny Herman
Individual 		W-2 Managing Employee
Director of Operations		 Oct 1, 2010
Thomas Michael Shimshak
Individual 		Corporate Director
Director		 Dec 10, 2020
Adventist Health System Sunbelt Healthcare Corporation
Organization · Altamonte Springs, FL
Non-profit, Chain home office 		5% Or Greater Indirect Ownership Interest Nov 1, 1982 100%
William R Jarrett
Individual 		Corporate Director
Director		 Sep 13, 2007
Jennifer J Wandersleben
Individual 		Corporate Officer
Chairperson		 Dec 2, 2021
Corporate Director
Director		 Dec 2, 2021
Timothy Sheehan
Individual 		Corporate Director
Director		 Dec 17, 2009
Catherine Cornelius
Individual 		Corporate Director
Director		 Aug 18, 2005
Richard a Campbell
Individual 		Corporate Director
Director		 Dec 5, 2013
Adventist Health System Sunbelt Inc
Organization · Altamonte Springs, FL
Corporation, Non-profit, Owned by another organization or individual 		5% Or Greater Direct Ownership Interest Jul 15, 1997 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080401000861 FL Part B Supplier - Clinic/Group Practice 0749232445 Receives reassigned benefits from 358 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sebring, FL; Lake Placid, FL; Avon Park, FL
O20101119000084 FL Part a Provider - Rural Health Clinic 0749232445 Practice locations: Avon Park, FL

National Provider Directory

Part of
Erick Calderon MD

Locations

1006 W Pleasant St
Avon Park, FL 33825
Phone (863) 453-3121

2950 Alt US Hwy 27 S
Sebring, FL 33870
Phone (863) 402-1266

2950 US 27
Ste B
Sebring, FL 33870

4639 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 471-1010

4200 Sun N Lake Blvd
Ste B
Sebring, FL 33872

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207Q00000X 4171 FL
Internal Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207R00000X 4171 FL
Rural Health Clinic/Center 261QR1300X 4171 FL Yes
Medical Physician Assistant
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 363AM0700X 4171 FL

Addresses

Primary practice location

1006 W Pleasant St
Avon Park, FL 33825-2966

Mailing address

4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone (863) 402-3366

Other names

  • ADVENTHEALTH FAMILY AND LIFESTYLE MEDICINE AVON PARK Doing business as
  • AdventHealth Family Medicine Avon Park Doing business as
  • Florida Hospital Heartland Medical Center Family Practice Center Doing business as

Other providers in Avon Park, FL

All providers in Avon Park, FL · Rural Health Clinic/Center in Florida

Sources for this page

Verify at the official NPI Registry.