DEJA VU SKIN & HEALTH CENTER
NPI 1972782662
Family Medicine in Newburgh, IN
About Deja Vu Skin & Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEJA VU SKIN & HEALTH CENTER (NPI 1972782662) is a healthcare organization registered as a family medicine in Newburgh, Indiana and active in the NPI registry since October 2007. The organization lists Clovis E. Manley, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deja Vu Skin & Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Deja Vu Skin & Health Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Clovis E. Manley, MD LLC's NPI number?
The NPI number for Clovis E. Manley, MD LLC is 1972782662. It was assigned to this organization in the NPPES registry on October 30, 2007. The provider is doing business as Deja Vu Skin & Health Center, Evansville Regional Vein Center and Primary Care Plus.
Where is Clovis E. Manley, MD LLC located?
Clovis E. Manley, MD LLC is located at 4943 Rosebud Ln, Newburgh, IN 47630. The listed phone number is (812) 471-8195.
What is Clovis E. Manley, MD LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Clovis E. Manley, MD LLC enrolled in Medicare?
Yes. Clovis E. Manley, MD LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clovis E. Manley, MD LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Clovis E. Manley, MD LLC. 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. The largest specialties are Nurse Practitioner (3) and Family Practice (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Clovis E. Manley, MD LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Clovis E. Manley, MD 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 Clovis E. Manley, MD LLC was last updated on February 19, 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.
# Deja Vu Skin & Health Center · NPI 1972782662
Family Medicine organization in Newburgh, Indiana. Organization record, active in the CMS NPPES registry since October 30, 2007.
## Identity
- **NPI:** 1972782662 (Entity type: Organization)
- **Enumerated:** October 30, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Clovis E. Manley, Md Llc
- **Also known as:** Evansville Regional Vein Center (Doing Business As); Primary Care Plus (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Clovis Manley, OWNER/PHYSICIAN
## Practice location
- **Address:** 4943 ROSEBUD LN, Newburgh, IN 47630-9226
- **Phone:** (812) 471-8195 · **Fax:** (812) 490-1060
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1972782662) · Data from the CMS NPPES public registry.