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EVERSIDE HEALTH, LLC
NPI 1396236659
Clinic/Center - Primary Care in Elkhart, IN

Active since May 22, 2018CLIA 15D2149693 · Waiver
1001 PARKWAY AVE STE 11, ELKHART, IN 46516(574) 206-4399(574) 206-4432 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2022, Sep 13, 2021, Nov 7, 2018 and 1 more (4 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 1396236659) is a healthcare organization registered as a primary care in Elkhart, Indiana and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through June 7, 2028 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1396236659
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address1001 PARKWAY AVE STE 11Elkhart, IN 46516-9347
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(574) 206-4399
Fax(574) 206-4432
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateMay 22, 2018
Last NPPES UpdateAugust 11, 20224 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1396236659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1001 PARKWAY AVE STE 11, Elkhart, IN 46516
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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 15D2149693

Everside Health-Elkhart County Clinic · Elkhart, IN
Active · expires Jun 7, 2028
CLIA Number15D2149693
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorBryon Thomas
Laboratory Phone(574) 206-4399
Laboratory LocationEverside Health-Elkhart County Clinic1001 Parkway Avenue Suite 11, Elkhart, IN 46516
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

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

HEATHER CALKINS FNP-C
Nurse Practitioner (Family)
1001 PARKWAY AVE STE 11
ELKHART, IN 46516
Elkhart County (574) 206-4399

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 1396236659. It was assigned to this organization in the NPPES registry on May 22, 2018.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 1001 Parkway Ave Ste 11, Elkhart, IN 46516. The listed phone number is (574) 206-4399.

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 15D2149693) is associated with this NPI, valid through June 7, 2028. 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 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.