BLACK OLIVE HEALTH CARE CLINIC
NPI 1316695380
Nurse Practitioner - Primary Care in Columbus, OH
About Black Olive Health Care Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACK OLIVE HEALTH CARE CLINIC (NPI 1316695380) is a healthcare organization registered as a primary care in Columbus, Ohio and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through March 25, 2028 and lists Edeisha Brooks, Aprn, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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 36D2340984
Black Olive Health · Columbus, OHOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBUS, OH 43229
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 Black Olive Health Care Clinic's NPI number?
The NPI number for Black Olive Health Care Clinic is 1316695380. It was assigned to this organization in the NPPES registry on March 17, 2022.
Where is Black Olive Health Care Clinic located?
Black Olive Health Care Clinic is located at 1415 E Dublin Granville Rd Ste 100C, Columbus, OH 43229. The listed phone number is (614) 943-3776.
What is Black Olive Health Care Clinic's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Does Black Olive Health Care Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2340984) is associated with this NPI, valid through March 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Black Olive Health Care Clinic accept?
Health plans from Anthem Blue Cross and Blue Shield list Black Olive Health Care Clinic 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 Black Olive Health Care Clinic was last updated on March 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.