EVERSIDE HEALTH-QUEEN ANNE'S HEALTH CENTER
NPI 1881303584
Family Medicine in Centreville, MD

Q: What is Everside Health-Queen Anne's Health Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 21, 2022CLIA 21D2279955 · Waiver

2977 4H PARK RD STE 202, CENTREVILLE, MD 21617(410) 989-9859 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2023, Nov 22, 2022 (2 updates tracked since 2022).

On this page

About Everside Health-queen Anne's Health Center NPPES

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

EVERSIDE HEALTH-QUEEN ANNE'S HEALTH CENTER (NPI 1881303584) is a healthcare organization registered as a family medicine in Centreville, Maryland and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1881303584

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameEVERSIDE HEALTH-QUEEN ANNE'S HEALTH CENTER

Location Address2977 4H PARK RD STE 202Centreville, MD 21617-2232

Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916 · (704) 936-5546

Phone(410) 989-9859

Organization SubpartNo

Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546

Enumeration DateNovember 21, 2022

Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2023

✔ NPI 1881303584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2977 4H PARK RD STE 202, Centreville, MD 21617

Open in Google Maps ↗

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

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 21D2279955

Everside Health-Queen Anne's Health Center · Centreville, MD

Active · expires Apr 10, 2027

CLIA Number21D2279955

Laboratory TypePhysician Office

Certificate Effective DateApril 11, 2025

Certificate Expiration DateApril 10, 2027

Laboratory DirectorDr. Michael Gasparovich

Laboratory Phone(704) 661-1380

Laboratory LocationEverside Health-Queen Anne's Health Center2977 4-H Park Road, Centreville, MD 21617

CLIA data matches this NPI record on: Name

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.

DR. MICHAEL GASPAROVICH D.O.

Family Medicine

2977 4H PARK RD STE 202
CENTREVILLE, MD 21617

Queen Anne's County (410) 989-9859

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-Queen Anne's Health Center's NPI number?

The NPI number for Everside Health-Queen Anne's Health Center is 1881303584. It was assigned to this organization in the NPPES registry on November 21, 2022.

Where is Everside Health-Queen Anne's Health Center located?

Everside Health-Queen Anne's Health Center is located at 2977 4H Park Rd Ste 202, Centreville, MD 21617. The listed phone number is (410) 989-9859.

What is Everside Health-Queen Anne's Health Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Everside Health-Queen Anne's Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2279955) is associated with this NPI, valid through April 10, 2027. 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-Queen Anne's Health Center was last updated on September 7, 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.