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EVERSIDE HEALTH MILLIKEN TWO RIVERS
NPI 1316713308
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Mayodan, NC

Active since November 30, 2023CLIA Certified · 2 labs
109 TURNER RD, MAYODAN, NC 27027(704) 661-1380 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Everside Health Milliken Two Rivers NPPES

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

EVERSIDE HEALTH MILLIKEN TWO RIVERS (NPI 1316713308) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Mayodan, North Carolina and active in the NPI registry since November 2023. The organization holds 2 active CLIA laboratory certificates and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1316713308
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameEVERSIDE HEALTH MILLIKEN TWO RIVERS
Location Address109 TURNER RDMayodan, NC 27027-8251
Mailing Address1400 Wewatta St Ste 350Denver, CO 80202-5553 · (704) 661-1380
Phone(704) 661-1380
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
✔ NPI 1316713308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
109 TURNER RD, Mayodan, NC 27027
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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

CLIA Laboratory Certificates CMS CLIA 2

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 34D2294900

Everside Health-Milliken Two Rivers · Mayodan, NC
Active · expires Nov 30, 2027
CLIA Number34D2294900
Laboratory TypeChronic Mgt
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorEwa Brennan
Laboratory Phone(704) 661-1380
Laboratory LocationEverside Health-Milliken Two Rivers109 Turner Road, Mayodan, NC 27027
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2295021

Everside Health-Milliken Ptm · Cleveland, TN
Active · expires Dec 4, 2027
CLIA Number44D2295021
Laboratory TypeChronic Mgt
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorRachael Green
Laboratory Phone(704) 661-1380
Laboratory LocationEverside Health-Milliken Ptm310 Industrial Drive SW, Cleveland, TN 37311
CLIA data matches this NPI record on: 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 Milliken Two Rivers's NPI number?

The NPI number for Everside Health Milliken Two Rivers is 1316713308. It was assigned to this organization in the NPPES registry on November 30, 2023.

Where is Everside Health Milliken Two Rivers located?

Everside Health Milliken Two Rivers is located at 109 Turner Rd, Mayodan, NC 27027. The listed phone number is (704) 661-1380.

What is Everside Health Milliken Two Rivers's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Does Everside Health Milliken Two Rivers hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Everside Health Milliken Two Rivers was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.