Organization Active NPI

Rivanna Concierge Physicians, PLLC

  • Family Medicine Physician
  • Charlottesville, VA
National Provider Identifier
1295681138
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RIVANNA CONCIERGE PHYSICIANS, PLLC
Practice address
630 Peter Jefferson Pkwy Ste 135
Charlottesville, VA 22911-8630
Phone
(425) 299-0764
NPI assigned
Mar 4, 2026
Last updated
Jun 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Whitney Female (F) McClincy, MD
Title
Medical Director
Phone
(425) 299-0764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

630 Peter Jefferson Pkwy Ste 135
Charlottesville, VA 22911-8630

Mailing address

630 Peter Jefferson Pkwy Ste 135
Charlottesville, VA 22911-8630
Phone (425) 299-0764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260605003375 VA Part B Supplier - Clinic/Group Practice 5294206678 Receives reassigned benefits from 1 practitioner
Practice locations: Charlottesville, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2344092Rivanna Concierge Physicians630 Peter Jefferson Pkwy, Suite 135, Charlottesville, VA 22911Certificate of waiverMay 17, 2028

National Provider Directory

National Provider Directory

Locations

630 Peter Jefferson Pkwy
Ste 135
Charlottesvle, VA 22911
Phone (425) 299-0764

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1295681138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PETER JEFFERSON PKWY STE 135",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118630",
            "telephone_number": "425-299-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PETER JEFFERSON PKWY STE 135",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118630",
            "telephone_number": "425-299-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVANNA CONCIERGE PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "MCCLINCY",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "FEMALE (F)",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "425-299-0764",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.