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EVERSIDE HEALTH, LLC
NPI 1619484730
Clinic/Center - Primary Care in Berne, IN

Active since January 10, 2018CLIA 15D2144865 · Waiver
926 W. 500 S., BERNE, IN 46711(260) 849-4296(260) 849-4298 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 15, 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 1619484730) is a healthcare organization registered as a primary care in Berne, Indiana and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through February 25, 2028 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1619484730
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address926 W. 500 S.Berne, IN 46711
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(260) 849-4296
Fax(260) 849-4298
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateJanuary 10, 2018
Last NPPES UpdateAugust 11, 20224 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1619484730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
926 W. 500 S., Berne, IN 46711
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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 15D2144865

Everside Health-Red Gold Berne Clinic · Berne, IN
Active · expires Feb 25, 2028
CLIA Number15D2144865
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorKristy Norris
Laboratory Phone(260) 849-4296
Laboratory LocationEverside Health-Red Gold Berne Clinic926 E 500 S, Berne, IN 46711
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 1619484730. It was assigned to this organization in the NPPES registry on January 10, 2018.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 926 W. 500 S., Berne, IN 46711. The listed phone number is (260) 849-4296.

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 15D2144865) is associated with this NPI, valid through February 25, 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 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.