CLEVELAND MEDICAL MANAGEMENT LLC
NPI 1306774500
Clinic/Center in Willard, OH
About Cleveland Medical Management Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLEVELAND MEDICAL MANAGEMENT LLC (NPI 1306774500), doing business as Willard Medical And Diagnostics - Amoh, is a healthcare organization registered as a clinic/center in Willard, Ohio and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through June 23, 2028 and lists Corby Johnson, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cleveland Medical Management Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Cleveland Medical Management LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 30Source: 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 Waiver 36D2346127
Cleveland Medical Management Dba Willard Medical & Diagnostics · Willard, OHFrequently 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 Cleveland Medical Management LLC's NPI number?
The NPI number for Cleveland Medical Management LLC is 1306774500. It was assigned to this organization in the NPPES registry on May 11, 2026. The provider is doing business as Willard Medical and Diagnostics - AMOH.
Where is Cleveland Medical Management LLC located?
Cleveland Medical Management LLC is located at 117 Blossom Centre Blvd Ste 105, Willard, OH 44890. The listed phone number is (419) 561-4552.
What is Cleveland Medical Management LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Cleveland Medical Management LLC enrolled in Medicare?
Yes. Cleveland Medical Management LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cleveland Medical Management LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 5 Medicare specialties reassign their Medicare billing to Cleveland Medical Management LLC. 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. The largest specialties are Nurse Practitioner (23), Internal Medicine (4) and Family Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cleveland Medical Management LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2346127) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Cleveland Medical Management LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Cleveland Medical Management LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cleveland Medical Management LLC was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Cleveland Medical Management Llc · NPI 1306774500
Clinic/Center organization in Willard, Ohio. Organization record, active in the CMS NPPES registry since May 11, 2026.
## Identity
- **NPI:** 1306774500 (Entity type: Organization)
- **Enumerated:** May 11, 2026
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** Willard Medical and Diagnostics - AMOH (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Corby Johnson, ADMINISTRATOR
## Practice location
- **Address:** 117 BLOSSOM CENTRE BLVD STE 105, Willard, OH 44890-9317
- **Phone:** (419) 561-4552 · **Fax:** (513) 712-4573
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 30 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (23), Internal Medicine (4), Family Practice (1); [full list](https://npiprofile.com/npi/1306774500/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 11, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1306774500) · Data from the CMS NPPES public registry.