OrganizationActive
Longevity Health Clinic, Inc
NPI 1063235208 · Clinic/Center · Charlottesville, VA
Longevity Health Clinic, Inc is a Clinic/Center organization in Charlottesville, VA (NPI 1063235208).
Provider details
- NPI number
- 1063235208
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Itri, Owner and Medical Director(434) 260-9132
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
4100 Olympia Cir Ste 106
Charlottesville, VA 22911-3620
Phone: (434) 260-3306
Fax: (434) 206-8020
Approximate (ZIP-level) locationGet directions
Mailing address
4100 Olympia Cir Ste 106
Charlottesville, VA 22911-3620
Registry dates
- Enumerated
- 2024-11-06
- Last updated
- 2024-11-06
- Certified
- 2024-11-06
Frequently asked questions
- What is Longevity Health Clinic, Inc's NPI number?
- Longevity Health Clinic, Inc's National Provider Identifier (NPI) is 1063235208, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Longevity Health Clinic, Inc?
- Longevity Health Clinic, Inc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Longevity Health Clinic, Inc located?
- Longevity Health Clinic, Inc's practice location on file with NPPES is 4100 Olympia Cir Ste 106, Charlottesville, VA 22911-3620.
- What is Longevity Health Clinic, Inc's phone number?
- The practice phone number listed in the NPPES registry for Longevity Health Clinic, Inc is (434) 260-3306.
- Who is the authorized official for Longevity Health Clinic, Inc?
- The authorized official listed on Longevity Health Clinic, Inc's NPPES record is Jason Itri, Owner and Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Longevity Health Clinic, Inc's NPI active?
- Yes — Longevity Health Clinic, Inc's NPI (1063235208) is active in the NPPES registry as of the last update on 2024-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.