IGATA AND PARKE PLC
NPI 1619730835
Family Medicine in Forest, VA

Active since January 31, 2024
14805 FOREST RD STE 229, FOREST, VA 24551(540) 986-5480 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Igata And Parke Plc NPPES

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

IGATA AND PARKE PLC (NPI 1619730835) is a healthcare organization registered as a family medicine in Forest, Virginia and active in the NPI registry since January 2024. The organization lists Raven Parke, Co-founder, as its authorized official.

NPPES Registry Identity

NPI1619730835
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIGATA AND PARKE PLC
Location Address14805 FOREST RD STE 229Forest, VA 24551-5019
Mailing Address14805 Forest Rd Ste 229Forest, VA 24551-5019
Organization SubpartNo
Authorized OfficialRaven ParkeCo-founder · (540) 986-5480
Enumeration DateJanuary 31, 2024
Last NPPES UpdateApril 18, 2024
NPPES CertifiedApril 18, 2024
✔ NPI 1619730835 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.
14805 FOREST RD STE 229, Forest, VA 24551

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Igata And Parke Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Igata And Parke Plc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1063844926
101 AUBREYS LOOP
South Boston, VA 24592
(434) 517-3879
✔ PECOS✔ Accepts Medicare50 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 Waiver 49D2312677

Igata And Parke Plc · Forest, VA
Expired · Oct 15, 2026
CLIA Number49D2312677
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorRaven M. Parke
Laboratory Phone(434) 207-2337
Laboratory LocationIgata And Parke Plc14805 Forest Rd, Suite 229, Forest, VA 24551
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 Igata And Parke Plc's NPI number?

The NPI number for Igata And Parke Plc is 1619730835. It was assigned to this organization in the NPPES registry on January 31, 2024.

Where is Igata And Parke Plc located?

Igata And Parke Plc is located at 14805 Forest Rd Ste 229, Forest, VA 24551. The listed phone number is (540) 986-5480.

What is Igata And Parke Plc's specialty?

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

Is Igata And Parke Plc enrolled in Medicare?

Yes. Igata And Parke Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Igata And Parke Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Igata And Parke Plc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Igata And Parke Plc was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.