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DEACONESS CLINIC - S GREEN RIVER RD
NPI 1023644838
Family Medicine in Evansville, IN

Active since March 13, 2020CLIA Certified · 2 labs
1000 S GREEN RIVER RD, EVANSVILLE, IN 47715(812) 450-6879(812) 858-4586 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2020, Mar 13, 2020 (2 updates tracked since 2020).

About Deaconess Clinic - S Green River Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEACONESS CLINIC - S GREEN RIVER RD (NPI 1023644838) is a healthcare organization registered as a family medicine in Evansville, Indiana and active in the NPI registry since March 2020. The organization holds 2 active CLIA laboratory certificates and lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1023644838
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS CLINIC, INC.
Location Address1000 S GREEN RIVER RDEvansville, IN 47715-6802
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 450-6815 · Fax (812) 450-6822
Phone(812) 450-6879
Fax(812) 858-4586
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296
Enumeration DateMarch 13, 2020
Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1023644838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1000 S GREEN RIVER RD, Evansville, IN 47715
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Other Names 1

Doing Business AsDeaconess Clinic - S Green River Rd

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2182160

Deaconess Clinic South Green River · Evansville, IN
Active · expires Apr 15, 2028
CLIA Number15D2182160
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorBrent Thomason
Laboratory Phone(812) 450-8751
Laboratory LocationDeaconess Clinic South Green River1000 S Green River Rd, Evansville, IN 47715
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2118637

Deaconess Clinic Express · Evansville, IN
Active · expires Sep 12, 2026
CLIA Number15D2118637
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2024
Certificate Expiration DateSeptember 12, 2026
Laboratory DirectorDr. Drew Mehta
Laboratory Phone(812) 436-4526
Laboratory LocationDeaconess Clinic Express2622 Menards Dr, Evansville, IN 47715
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENT E THOMASON MD
Family Medicine
1000 S GREEN RIVER RD
EVANSVILLE, IN 47715
Vanderburgh County (812) 450-8751
KYLE LEMOND MD
Family Medicine
1000 S GREEN RIVER RD
EVANSVILLE, IN 47715
Vanderburgh County (812) 450-8751
MITCHELL S MCCORD DO
Family Medicine
1000 S GREEN RIVER RD
EVANSVILLE, IN 47715
Vanderburgh County (812) 853-6627
RYAN S DUNN NP
Nurse Practitioner
1000 S GREEN RIVER RD
EVANSVILLE, IN 47715
Vanderburgh County (812) 853-6627
TIFFANY FREY MD
Family Medicine
1000 S GREEN RIVER RD
EVANSVILLE, IN 47715
Vanderburgh County (812) 853-6627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deaconess Clinic, Inc.'s NPI number?

The NPI number for Deaconess Clinic, Inc. is 1023644838. It was assigned to this organization in the NPPES registry on March 13, 2020. The provider is doing business as Deaconess Clinic - S Green River Rd.

Where is Deaconess Clinic, Inc. located?

Deaconess Clinic, Inc. is located at 1000 S Green River Rd, Evansville, IN 47715. The listed phone number is (812) 450-6879.

What is Deaconess Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Deaconess Clinic, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Deaconess Clinic, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Deaconess Clinic, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deaconess Clinic, Inc. was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.