EVERSIDE HEALTH, LLC
NPI 1639567779
Clinic/Center - Primary Care in Greensburg, IN

Active since December 23, 2014CLIA 15D2074952 · Waiver
1025 BARACHEL LN, GREENSBURG, IN 47240(812) 222-0051(812) 222-0055 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2022, Sep 15, 2021 (2 updates tracked since 2021).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1639567779) is a healthcare organization registered as a primary care in Greensburg, Indiana and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through March 18, 2028 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1639567779
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address1025 BARACHEL LNGreensburg, IN 47240-1269
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Fax(812) 222-0055
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateDecember 23, 2014
Last NPPES UpdateAugust 11, 20222 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
NPI 1639567779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1025 BARACHEL LN, Greensburg, IN 47240

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 15D2074952

Everside Health-Gecom · Greensburg, IN
Active · expires Mar 18, 2028
CLIA Number15D2074952
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorEric Wessel
Laboratory Phone(812) 222-0051
Laboratory LocationEverside Health-Gecom1035 Barachel Lane, Greensburg, IN 47240
CLIA data matches this NPI record on: 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.

Family Medicine
1025 BARACHEL LN
GREENSBURG, IN 47240

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 1639567779. It was assigned to this organization in the NPPES registry on December 23, 2014.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 1025 Barachel Ln, Greensburg, IN 47240. The listed phone number is (812) 222-0051.

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 15D2074952) is associated with this NPI, valid through March 18, 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 with the weekly NPPES data releases published by CMS.