Active NPI
Aevum Integrated Health VA LLC
- General Practice Physician
- Farmville, VA
National Provider Identifier
1790644516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- AEVUM INTEGRATED HEALTH VA LLC
- Practice address
- 202 Agee St
Farmville, VA 23901-2617 - Phone
- (434) 603-4835
- NPI assigned
- Jan 19, 2026
- Last updated
- Jan 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Levi Lipovenko
- Title
- Ceo
- Phone
- (434) 603-4835
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| General Practice Physician | 208D00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
202 Agee St
Farmville, VA 23901-2617
Mailing address
175 Route 70 Ste 303
Toms River, NJ 08755-0936
Phone (434) 603-4835
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2337752 | Aevum Integrated Health VA LLC | Certificate of waiver | Jan 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
175 Route 70
Ste 303
Toms River, NJ 08755
202 Agee St
Farmville, VA 23901
Phone (434) 392-6143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769558400000",
"number": "1790644516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 ROUTE 70 STE 303",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087550936",
"telephone_number": "434-603-4835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 AGEE ST",
"city": "FARMVILLE",
"state": "VA",
"postal_code": "239012617",
"telephone_number": "434-603-4835"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AEVUM INTEGRATED HEALTH VA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-19",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A",
"authorized_official_last_name": "LIPOVENKO",
"authorized_official_first_name": "LEVI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "434-603-4835"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.