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EVERSIDE HEALTH LLC KENTUCKY CLINIC
NPI 1386393635
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Brandenburg, KY

Active since March 23, 2022CLIA Certified · 3 labs
100 RONNIE GREENWELL RD, BRANDENBURG, KY 40108(704) 529-6161 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Everside Health Llc Kentucky Clinic NPPES

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

EVERSIDE HEALTH LLC KENTUCKY CLINIC (NPI 1386393635) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Brandenburg, Kentucky and active in the NPI registry since March 2022. The organization holds 3 active CLIA laboratory certificates and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1386393635
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameEVERSIDE HEALTH LLC KENTUCKY CLINIC
Location Address100 RONNIE GREENWELL RDBrandenburg, KY 40108-5452
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(704) 529-6161
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1386393635 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.
100 RONNIE GREENWELL RD, Brandenburg, KY 40108
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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 3

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 18D2258419

Everside Health Lexington Kentucky Clinic · Brandenburg, KY
Active · expires Apr 20, 2028
CLIA Number18D2258419
Laboratory TypeChronic Disease Managemen
Certificate Effective DateApril 21, 2026
Certificate Expiration DateApril 20, 2028
Laboratory DirectorMs. Monica Williams
Laboratory Phone(704) 529-6161
Laboratory LocationEverside Health Lexington Kentucky Clinic100 Ronnie Greenwell Commerce Road, Brandenburg, KY 40108
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2253614

Everside Health LLC, Alamance County · Burlington, NC
Active · expires Feb 22, 2028
CLIA Number34D2253614
Laboratory TypeChronic Disease Mgmt
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorNancy Plemmons
Laboratory Phone(704) 529-6161
Laboratory LocationEverside Health LLC, Alamance County1185 Huffman Mill Road, Burlington, NC 27215
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2131553

Everside Health Bryan Clinic · Bryan, OH
Active · expires May 31, 2027
CLIA Number36D2131553
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorClaire Osborn
Laboratory Phone(704) 529-6161
Laboratory LocationEverside Health Bryan Clinic500 W Mulberry St, Suite 101, Bryan, OH 43506
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 LLC Kentucky Clinic's NPI number?

The NPI number for Everside Health LLC Kentucky Clinic is 1386393635. It was assigned to this organization in the NPPES registry on March 23, 2022.

Where is Everside Health LLC Kentucky Clinic located?

Everside Health LLC Kentucky Clinic is located at 100 Ronnie Greenwell Rd, Brandenburg, KY 40108. The listed phone number is (704) 529-6161.

What is Everside Health LLC Kentucky Clinic'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 LLC Kentucky Clinic hold CLIA laboratory certificates?

Yes. 3 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 LLC Kentucky Clinic was last updated on March 23, 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.