OrganizationActive
Envy IV, LLC
NPI 1033982749 · Primary Care Clinic/Center · Carrollton, TX
Provider details
- NPI number
- 1033982749
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jayoung Jeong, Provider(469) 216-1102
Specialties & taxonomies
Ambulatory Health Care Facilities
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4070 State Hwy Suite 412
Carrollton, TX 75010
Phone: (469) 216-1102
Approximate (ZIP-level) locationGet directions
Mailing address
12060 Bamberg Ln
Frisco, TX 75035-6991
Registry dates
- Enumerated
- 2023-11-03
- Last updated
- 2026-04-30
- Certified
- 2026-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.