Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lawrence W Livengood, PA

Individual provider Physician Assistant · NPI 1407067507

Lawrence W Livengood, PA is a Physician Assistant in Charlottesville, Virginia. Qualified in 2006, 20 years ago. Practices with Martha Jefferson Medical Group LLC, a 191-clinician group and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
20
Licensed in
TN, VA
In the registry since
2007
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

595 Martha Jefferson Dr Ste 180
Charlottesville, VA 22911-4669
Phone: (434) 654-5575
Fax: (434) 654-5574
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 0110004200 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 1499 (TN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1499 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 1449 (TN)

Record details

NPI number1407067507
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 24, 2007
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Martha Jefferson Medical Group Llc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Charlottesville