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EVERSIDE HEALTH, LLC
NPI 1922671569
Family Medicine in Decatur, IL

Active since July 21, 2021CLIA 14D2243055 · Waiver
120 N FRANKLIN STREET, SUITE 1, DECATUR, IL 62523(866) 808-6005 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 21, 2022, Jul 27, 2021, Jul 21, 2021 (3 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 1922671569) is a healthcare organization registered as a family medicine in Decatur, Illinois and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through November 15, 2027 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1922671569
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address120 N FRANKLIN STREET, SUITE 1Decatur, IL 62523
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(866) 808-6005
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateJuly 21, 2021
Last NPPES UpdateJanuary 21, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2022
✔ NPI 1922671569 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.

120 N FRANKLIN STREET, Decatur, IL 62523
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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 14D2243055

Everside Health - Decatur Il · Decatur, IL
Active · expires Nov 15, 2027
CLIA Number14D2243055
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorBrooke Ballard
Laboratory Phone(217) 280-8578
Laboratory LocationEverside Health - Decatur Il120 N Franklin St - Ste A, Decatur, IL 62521
CLIA data matches this NPI record on: Address Name
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 1922671569. It was assigned to this organization in the NPPES registry on July 21, 2021.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 120 N Franklin Street Suite 1, Decatur, IL 62523. The listed phone number is (866) 808-6005.

What is Everside Health, LLC's specialty?

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

Does Everside Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2243055) is associated with this NPI, valid through November 15, 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, LLC was last updated on January 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.