EVERSIDE HEALTH ROANOKE SOUTH
NPI 1891564878
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Roanoke, VA

Active since January 01, 2024CLIA 52D2267935 · Waiver
2741 PENN FOREST BLVD, ROANOKE, VA 24018(704) 661-1380 Get Directions Write a Review

NPPES record last updated: January 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Everside Health Roanoke South NPPES

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

EVERSIDE HEALTH ROANOKE SOUTH (NPI 1891564878) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Roanoke, Virginia and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through September 1, 2026 and lists Jill Johnson Patton, Director Of Rosk Management, as its authorized official.

NPPES Registry Identity

NPI1891564878
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameEVERSIDE HEALTH ROANOKE SOUTH
Location Address2741 PENN FOREST BLVDRoanoke, VA 24018-4342
Mailing Address1400 Wewatta St Ste 350Denver, CO 80202-5553
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Rosk Management · (704) 936-5546
Enumeration DateJanuary 1, 2024
NPPES CertifiedJanuary 1, 2024
NPI 1891564878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
2741 PENN FOREST BLVD, Roanoke, VA 24018

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 52D2267935

Everside Health - Stoughton Brodhead · Brodhead, WI
Active · expires Sep 1, 2026
CLIA Number52D2267935
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorDeann T. Brown
Laboratory Phone(704) 661-1380
Laboratory LocationEverside Health - Stoughton Brodhead302 23rd St, Brodhead, WI 53520
CLIA data matches this NPI record on: 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 Roanoke South's NPI number?

The NPI number for Everside Health Roanoke South is 1891564878. It was assigned to this organization in the NPPES registry on January 1, 2024.

Where is Everside Health Roanoke South located?

Everside Health Roanoke South is located at 2741 Penn Forest Blvd, Roanoke, VA 24018. The listed phone number is (704) 661-1380.

What is Everside Health Roanoke South'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 Roanoke South hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2267935) is associated with this NPI, valid through September 1, 2026. 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 Roanoke South was last updated on January 1, 2024. 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.