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EVERSIDE HEALTH, LLC
NPI 1104599893
Family Medicine in Fowler, IN

Active since July 28, 2021
604 E 2ND ST STE A, FOWLER, IN 47944(866) 808-6005 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2022, Jul 28, 2021 (2 updates tracked since 2021).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1104599893) is a healthcare organization registered as a family medicine in Fowler, Indiana and active in the NPI registry since July 2021. The organization lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1104599893
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address604 E 2ND ST STE AFowler, IN 47944-1383
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(866) 808-6005
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateJuly 28, 2021
Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1104599893 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.
604 E 2ND ST STE A, Fowler, IN 47944
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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

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 1104599893. It was assigned to this organization in the NPPES registry on July 28, 2021.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 604 E 2nd St Ste A, Fowler, IN 47944. The listed phone number is (866) 808-6005.

What is Everside Health, LLC's specialty?

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

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.