ENVY IV, LLC
NPI 1033982749
Clinic/Center - Primary Care in Carrollton, TX

Q: What is Envy IV, LLC's NPI number?

The NPI number for Envy IV, LLC is 1033982749. It was assigned to this organization in the NPPES registry on November 3, 2023.

Q: What is Envy IV, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Q: When was this NPI record last updated?

The NPPES record for Envy IV, LLC was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 03, 2023CLIA 45D2300713 · Waiver

4070 STATE HWY SUITE 412, CARROLLTON, TX 75010(469) 216-1102 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 30, 2026, Nov 3, 2023 (2 updates tracked since 2023).

On this page

About Envy Iv, Llc NPPES

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

ENVY IV, LLC (NPI 1033982749) is a healthcare organization registered as a primary care in Carrollton, Texas and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Jayoung Jeong, Provider, as its authorized official.

NPPES Registry Identity

NPI1033982749

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameENVY IV, LLC

Location Address4070 STATE HWY SUITE 412Carrollton, TX 75010

Mailing Address12060 Bamberg LnFrisco, TX 75035-6991 · (214) 404-6413

Phone(469) 216-1102

Organization SubpartNo

Authorized OfficialJayoung JeongProvider · (469) 216-1102

Enumeration DateNovember 3, 2023

Last NPPES UpdateApril 30, 20262 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1033982749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedNurse PractitionerTaxonomy 363L00000X

4070 STATE HWY SUITE 412, Carrollton, TX 75010

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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 45D2300713

Envy IV · Carrollton, TX

Active · expires Mar 13, 2028

CLIA Number45D2300713

Laboratory TypePhysician Office

Certificate Effective DateMarch 14, 2026

Certificate Expiration DateMarch 13, 2028

Laboratory DirectorJayoung Jeong

Laboratory Phone(469) 216-1102

Laboratory LocationEnvy IV4070 State Highway 121 Suite 412, Carrollton, TX 75010

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Envy IV, LLC's NPI number?

The NPI number for Envy IV, LLC is 1033982749. It was assigned to this organization in the NPPES registry on November 3, 2023.

Where is Envy IV, LLC located?

Envy IV, LLC is located at 4070 State Hwy Suite 412, Carrollton, TX 75010. The listed phone number is (469) 216-1102.

What is Envy IV, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Envy IV, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2300713) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Envy IV, LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Envy IV, 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 Envy IV, LLC was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.