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EVERSIDE HEALTH- DEKALB COUNTY
NPI 1962194688
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Decatur, GA

Active since May 22, 2023CLIA 11D2290794 · Waiver
465 WINN WAY STE 215, DECATUR, GA 30030(704) 661-1380 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Everside Health- Dekalb County NPPES

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

EVERSIDE HEALTH- DEKALB COUNTY (NPI 1962194688) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Decatur, Georgia and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Jill Johnson Patton, Director Of Risk Mangement, as its authorized official.

NPPES Registry Identity

NPI1962194688
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameEVERSIDE HEALTH- DEKALB COUNTY
Location Address465 WINN WAY STE 215Decatur, GA 30030-1723
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(704) 661-1380
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Mangement · (704) 936-5546
Enumeration DateMay 22, 2023
NPPES CertifiedMay 22, 2023
✔ NPI 1962194688 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.
465 WINN WAY STE 215, Decatur, GA 30030
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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 11D2290794

Everside Health Dekalb · Decatur, GA
Active · expires Oct 1, 2027
CLIA Number11D2290794
Laboratory TypeChronic Mgt
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorMwiche Williams
Laboratory Phone(404) 645-7166
Laboratory LocationEverside Health Dekalb465 Winn Way, Suite 215, Decatur, GA 30030
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- Dekalb County's NPI number?

The NPI number for Everside Health- Dekalb County is 1962194688. It was assigned to this organization in the NPPES registry on May 22, 2023.

Where is Everside Health- Dekalb County located?

Everside Health- Dekalb County is located at 465 Winn Way Ste 215, Decatur, GA 30030. The listed phone number is (704) 661-1380.

What is Everside Health- Dekalb County'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- Dekalb County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2290794) is associated with this NPI, valid through October 1, 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- Dekalb County was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.