OrganizationActive
Aevum Integrated Health Va LLC
NPI 1790644516 · General Practice Physician · Farmville, VA
Provider details
- NPI number
- 1790644516
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Levi Lipovenko, Ceo(434) 603-4835
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
202 Agee St
Farmville, VA 23901-2617
Phone: (434) 603-4835
Approximate (ZIP-level) locationGet directions
Mailing address
175 Route 70 Ste 303
Toms River, NJ 08755-0936
Registry dates
- Enumerated
- 2026-01-19
- Last updated
- 2026-01-28
- Certified
- 2026-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.