EVERSIDE HEALTH, LLC
NPI 1316506801
Clinic/Center - Primary Care in Marion, IN

Active since June 10, 2019CLIA 15D2201006 · Waiver
2707 S. WESTRN AVE, MARION, IN 46953(765) 697-9142(765) 697-9143 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2022, Sep 9, 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 1316506801) is a healthcare organization registered as a primary care in Marion, Indiana and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1316506801
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address2707 S. WESTRN AVEMarion, IN 46953-3565
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Fax(765) 697-9143
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateJune 10, 2019
Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
NPI 1316506801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2707 S. WESTRN AVE, Marion, IN 46953

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 15D2201006

Everside Health-Marion In Clinic · Marion, IN
Active · expires Nov 17, 2026
CLIA Number15D2201006
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorAmber Apple
Laboratory Phone(765) 697-9142
Laboratory LocationEverside Health-Marion In Clinic2707 S Western Avenue, Marion, IN 46953
CLIA data matches this NPI record on: Name Phone
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 1316506801. 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 2707 S. Westrn Ave, Marion, IN 46953. The listed phone number is (765) 697-9142.

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 15D2201006) is associated with this NPI, valid through November 17, 2026. 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 August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.