EVERSIDE HEALTH HSM FORT VALLEY
NPI 1619742871
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Fort Valley, GA
About Everside Health Hsm Fort Valley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERSIDE HEALTH HSM FORT VALLEY (NPI 1619742871) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Fort Valley, Georgia and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through February 8, 2028 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 11D2298855
Everside Health Hsm Fort Valley · Fort Valley, GAFrequently 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 Hsm Fort Valley's NPI number?
The NPI number for Everside Health Hsm Fort Valley is 1619742871. It was assigned to this organization in the NPPES registry on November 17, 2023.
Where is Everside Health Hsm Fort Valley located?
Everside Health Hsm Fort Valley is located at 256 Industrial Park Road, Fort Valley, GA 31030. The listed phone number is (866) 959-9355.
What is Everside Health Hsm Fort Valley'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 Hsm Fort Valley hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2298855) is associated with this NPI, valid through February 8, 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 Hsm Fort Valley was last updated on November 17, 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.
# Everside Health Hsm Fort Valley · NPI 1619742871
Preventive Medicine/Occupational Environmental Medicine organization in Fort Valley, Georgia. Organization record, active in the CMS NPPES registry since November 17, 2023.
## Identity
- **NPI:** 1619742871 (Entity type: Organization)
- **Enumerated:** November 17, 2023
- **Primary specialty:** Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine · taxonomy 2083P0500X
- **Organization subpart:** No
- **Authorized official:** Jill Patton, DIRECTOR OF RISK MANAGEMENT
## Practice location
- **Address:** 256 INDUSTRIAL PARK ROAD, Fort Valley, GA 31030
- **Phone:** (866) 959-9355
## Record status
- **NPPES last updated:** November 17, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619742871) · Data from the CMS NPPES public registry.