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NORTH BEVERLY FAMILY MEDICINE PLLC
NPI 1609731611
Family Medicine in Beverly, MA

Active since December 22, 2025CLIA 22D2341187 · Waiver
48 DUNHAM RD STE 2500, BEVERLY, MA 01915(207) 671-0638 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Beverly Family Medicine Pllc NPPES

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

NORTH BEVERLY FAMILY MEDICINE PLLC (NPI 1609731611) is a healthcare organization registered as a family medicine in Beverly, Massachusetts and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through March 29, 2028 and lists Lisa Macvane, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1609731611
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTH BEVERLY FAMILY MEDICINE PLLC
Location Address48 DUNHAM RD STE 2500Beverly, MA 01915-1844
Mailing Address11 Evergreen RdRaymond, ME 04071-5534
Phone(207) 671-0638
Organization SubpartNo
Authorized OfficialLisa MacvanePhysician/owner · (207) 671-0638
Enumeration DateDecember 22, 2025
NPPES CertifiedDecember 22, 2025
✔ NPI 1609731611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
48 DUNHAM RD STE 2500, Beverly, MA 01915
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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

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 22D2341187

North Beverly Family Medicine PLLC · Beverly, MA
Active · expires Mar 29, 2028
CLIA Number22D2341187
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorLisa Macvane
Laboratory Phone(978) 288-2211
Laboratory LocationNorth Beverly Family Medicine PLLC48 Dunham Road, Suite 2500, Beverly, MA 01915
CLIA data matches this NPI record on: Address Name
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 North Beverly Family Medicine PLLC's NPI number?

The NPI number for North Beverly Family Medicine PLLC is 1609731611. It was assigned to this organization in the NPPES registry on December 22, 2025.

Where is North Beverly Family Medicine PLLC located?

North Beverly Family Medicine PLLC is located at 48 Dunham Rd Ste 2500, Beverly, MA 01915. The listed phone number is (207) 671-0638.

What is North Beverly Family Medicine PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does North Beverly Family Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2341187) is associated with this NPI, valid through March 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Beverly Family Medicine PLLC was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.