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AEVUM INTEGRATED HEALTH VA LLC
NPI 1790644516
General Practice in Farmville, VA

Active since January 19, 2026CLIA 49D2337752 · Waiver
202 AGEE ST, FARMVILLE, VA 23901(434) 603-4835 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 28, 2026, Jan 19, 2026 (2 updates tracked since 2026).

About Aevum Integrated Health Va Llc NPPES

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

AEVUM INTEGRATED HEALTH VA LLC (NPI 1790644516) is a healthcare organization registered as a general practice in Farmville, Virginia and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists Levi Lipovenko, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790644516
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameAEVUM INTEGRATED HEALTH VA LLC
Location Address202 AGEE STFarmville, VA 23901-2617
Mailing Address175 Route 70 Ste 303Toms River, NJ 08755-0936 · (434) 603-4835
Phone(434) 603-4835
Organization SubpartNo
Authorized OfficialLevi LipovenkoCeo · (434) 603-4835
Enumeration DateJanuary 19, 2026
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1790644516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
202 AGEE ST, Farmville, VA 23901
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 49D2337752

Aevum Integrated Health VA LLC · Farmville, VA
Active · expires Jan 28, 2028
CLIA Number49D2337752
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorNancy H. Abdel-Wahab
Laboratory Phone(434) 603-4835
Laboratory LocationAevum Integrated Health VA LLC202 Agee Street, Farmville, VA 23901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. LUKE SAN M.D.
Internal Medicine
202 AGEE ST
FARMVILLE, VA 23901
Prince Edward County (434) 392-6143
WOODLAND FAMILY PRACTICE LLC
Legal Medicine
202 AGEE ST
FARMVILLE, VA 23901
Prince Edward County (434) 392-6143
DAVID M. AVANCE PA-C
Physician Assistant (Surgical)
202 AGEE ST
FARMVILLE, VA 23901
Prince Edward County (434) 392-6143

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 Aevum Integrated Health VA LLC's NPI number?

The NPI number for Aevum Integrated Health VA LLC is 1790644516. It was assigned to this organization in the NPPES registry on January 19, 2026.

Where is Aevum Integrated Health VA LLC located?

Aevum Integrated Health VA LLC is located at 202 Agee St, Farmville, VA 23901. The listed phone number is (434) 603-4835.

What is Aevum Integrated Health VA LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Aevum Integrated Health VA LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2337752) is associated with this NPI, valid through January 28, 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 Aevum Integrated Health VA LLC was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.