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EVERSIDE HEALTH, LLC
NPI 1053970517
Family Medicine in Beachwood, OH

Active since June 10, 2019CLIA 36D2167861 · Waiver
25700 SCIENCE PARK DR STE 120, BEACHWOOD, OH 44122(216) 672-0211 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2022, Sep 13, 2021, Jun 10, 2019 (3 updates tracked since 2019).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1053970517) is a healthcare organization registered as a family medicine in Beachwood, Ohio and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through June 16, 2027 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1053970517
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address25700 SCIENCE PARK DR STE 120Beachwood, OH 44122-7317
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(216) 672-0211
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateJune 10, 2019
Last NPPES UpdateJuly 28, 20223 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1053970517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
25700 SCIENCE PARK DR STE 120, Beachwood, OH 44122
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 36D2167861

Everside Health Beachwood Science Park Drive · Beachwood, OH
Active · expires Jun 16, 2027
CLIA Number36D2167861
Laboratory TypeChronic Disease Mgt
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorDeborah Ransbottom
Laboratory Phone(704) 529-6161
Laboratory LocationEverside Health Beachwood Science Park Drive25700 Science Park Drive Suite 120, Beachwood, OH 44122
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Everside Health, LLC's NPI number?

The NPI number for Everside Health, LLC is 1053970517. It was assigned to this organization in the NPPES registry on June 10, 2019.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 25700 Science Park Dr Ste 120, Beachwood, OH 44122. The listed phone number is (216) 672-0211.

What is Everside Health, LLC's specialty?

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

Does Everside Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2167861) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Everside Health, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Everside Health, LLC 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 Everside Health, LLC was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.