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IVY FAMILY MEDICINE, PLC
NPI 1073818787
Clinic/Center - Primary Care in Charlottesville, VA

Active since January 12, 2011CLIA 49D2022977 · Waiver
2 BOARS HEAD PL, SUITE 110, CHARLOTTESVILLE, VA 22903(434) 466-8363 Get Directions Write a Review

NPPES record last updated: April 18, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ivy Family Medicine, Plc NPPES

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

IVY FAMILY MEDICINE, PLC (NPI 1073818787) is a healthcare organization registered as a primary care in Charlottesville, Virginia and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through April 12, 2027 and lists Lily Wise Hargrove, Owner, as its authorized official.

NPPES Registry Identity

NPI1073818787
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameIVY FAMILY MEDICINE, PLC
Location Address2 BOARS HEAD PL, SUITE 110Charlottesville, VA 22903-4611
Mailing Address516 Rookwood PlCharlottesville, VA 22903-4734 · (434) 466-8363
Phone(434) 466-8363
Organization SubpartNo
Authorized OfficialLily Wise HargroveOwner · (434) 466-8363
Enumeration DateJanuary 12, 2011
Last NPPES UpdateApril 18, 2011
✔ NPI 1073818787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in VA · 0101057199
2 BOARS HEAD PL, Charlottesville, VA 22903
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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 49D2022977

Ivy Family Medicine, Plc · Charlottesville, VA
Active · expires Apr 12, 2027
CLIA Number49D2022977
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorLily W. Hargrove
Laboratory Phone(434) 202-7830
Laboratory LocationIvy Family Medicine, Plc145 Ednam Drive Suite 208, Charlottesville, VA 22903
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEBORAH ANNE YOUNGER M.D.
Psychiatry & Neurology (Psychiatry)
2 BOARS HEAD PL, #240
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 979-5836
J ANDERSON THOMSON JR MD PLC
Psychiatry & Neurology (Psychiatry)
2 BOARS HEAD PL, SUITE 100
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 296-2801
DR. LILY WISE HARGROVE M.D.
Family Medicine
2 BOARS HEAD PL, SUITE 110
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 202-7830
VICTORIA ANNE MOORE LPC
Counselor (Professional)
2 BOARS HEAD PL
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 760-1822
J. ANDERSON THOMSON, JR., M.D.,P.C
Psychiatry & Neurology (Psychiatry)
2 BOARS HEAD PL, SUITE 100
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 296-2801

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 Ivy Family Medicine, Plc's NPI number?

The NPI number for Ivy Family Medicine, Plc is 1073818787. It was assigned to this organization in the NPPES registry on January 12, 2011.

Where is Ivy Family Medicine, Plc located?

Ivy Family Medicine, Plc is located at 2 Boars Head Pl Suite 110, Charlottesville, VA 22903. The listed phone number is (434) 466-8363.

What is Ivy Family Medicine, Plc's specialty?

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

Does Ivy Family Medicine, Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2022977) is associated with this NPI, valid through April 12, 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 Ivy Family Medicine, Plc was last updated on April 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.