Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHIEFLAND HEALTH CENTER LLC
NPI 1114549284
Clinic/Center - Rural Health in Chiefland, FL

Active since May 12, 2020CLIA 10D0978184 · Accreditation
304 N MAIN ST, CHIEFLAND, FL 32626(352) 507-2000 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2026, Apr 19, 2022, Oct 8, 2021 and 2 more (5 updates tracked since 2020).

About Chiefland Health Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHIEFLAND HEALTH CENTER LLC (NPI 1114549284) is a healthcare organization registered as a rural health in Chiefland, Florida and active in the NPI registry since May 2020. The organization holds an CLIA Accreditation certificate valid through May 29, 2027 and lists Ashwin Kolaventy, Manager, as its authorized official.

NPPES Registry Identity

NPI1114549284
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCHIEFLAND HEALTH CENTER LLC
Location Address304 N MAIN STChiefland, FL 32626-0803
Mailing Address304 N Main StChiefland, FL 32626-0803 · (352) 507-2000 · Fax (352) 644-4544
Organization SubpartNo
Authorized OfficialAshwin KolaventyManager · (352) 507-2000
Enumeration DateMay 12, 2020
Last NPPES UpdateSeptember 9, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1114549284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
304 N MAIN ST, Chiefland, FL 32626

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chiefland Health Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20210114000041Part A · Rural Health ClinicDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Chiefland Health Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1518858760
304 N MAIN ST
Chiefland, FL 32626
(352) 605-7846
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1861419194
6600 SW HWY SUITE 300
Ocala, FL 34476
(352) 237-4116
✔ PECOS✔ Accepts Medicare45 mi
Internal Medicine
NPI 1700562766
5333 MCAULEY DR STE R-5003
Ypsilanti, MI 48197
(734) 712-3376
✔ PECOS882 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 10D0978184

Chiefland Health Center LLC · Chiefland, FL
Active · expires May 29, 2027
CLIA Number10D0978184
Laboratory TypeRural Health Clinic
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorDr. Ravindra Kolaventy
Laboratory Phone(352) 414-2270
Laboratory LocationChiefland Health Center LLC304 N Main Street, Chiefland, FL 32626
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chiefland Health Center LLC's NPI number?

The NPI number for Chiefland Health Center LLC is 1114549284. It was assigned to this organization in the NPPES registry on May 12, 2020.

Where is Chiefland Health Center LLC located?

Chiefland Health Center LLC is located at 304 N Main St, Chiefland, FL 32626. The listed phone number is (352) 507-2000.

What is Chiefland Health Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Chiefland Health Center LLC enrolled in Medicare?

Yes. Chiefland Health Center LLC is registered in the Medicare PECOS enrollment system.

When is Chiefland Health Center LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Florida, Rural Health Clinic) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Chiefland Health Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Chiefland Health Center LLC, in Cardiovascular Disease (Cardiology), Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Chiefland Health Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D0978184) is associated with this NPI, valid through May 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chiefland Health Center LLC was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.