EVERSIDE HEALTH, LLC
NPI 1215481437
Clinic/Center - Primary Care in Elwood, IN

Active since August 04, 2016CLIA 15D2127691 · Waiver
1500 S B ST, SUITE A, ELWOOD, IN 46036(765) 557-8696(765) 557-8796 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2022, Sep 9, 2021, Nov 7, 2018 (3 updates tracked since 2018).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1215481437) is a healthcare organization registered as a primary care in Elwood, Indiana and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through March 15, 2027 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1215481437
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address1500 S B ST, SUITE AElwood, IN 46036-2081
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Fax(765) 557-8796
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateAugust 4, 2016
Last NPPES UpdateJuly 28, 20223 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
NPI 1215481437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1500 S B ST, Elwood, IN 46036

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 15D2127691

Everside Health Red Gold Elwood Clinic · Elwood, IN
Active · expires Mar 15, 2027
CLIA Number15D2127691
Laboratory TypeChronic Mgt
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorJamie Lindsay
Laboratory Phone(765) 557-8696
Laboratory LocationEverside Health Red Gold Elwood Clinic1500 South B Street, Ste A, Elwood, IN 46036
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Case Management
1500 S B ST
ELWOOD, IN 46036
Family Medicine
1500 S B ST
ELWOOD, IN 46036
Counselor (Mental Health)
1500 S B ST
ELWOOD, IN 46036

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 1215481437. It was assigned to this organization in the NPPES registry on August 4, 2016.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 1500 S B St Suite A, Elwood, IN 46036. The listed phone number is (765) 557-8696.

What is Everside Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Everside Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2127691) is associated with this NPI, valid through March 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.