Viverant Integrative Clinic LLC
NPI 1255943767ActiveOrganization· Family Medicine· Jeffersonville, IN
Family Medicine in Jeffersonville, Indiana, registered in NPPES in August 2020. The authorized official on file is Jo Leigh Holland, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255943767 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 18, 2020 |
| Last updated in NPPES | Apr 5, 2024 |
| Certified by provider | Apr 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Infusion Therapy | 261QI0500X | — | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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