1. Home
  2. Directory
  3. Arkansas
  4. Blytheville
  5. Preventive Medicine
  6. NPI Profile

EVERSIDE HEALTH LLC
NPI 1982353215
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Blytheville, AR

Active since March 23, 2022CLIA 04D2258358 · Waiver
300 N LOCKARD ST, BLYTHEVILLE, AR 72315(704) 936-5546 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Everside Health Llc NPPES

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

EVERSIDE HEALTH LLC (NPI 1982353215) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Blytheville, Arkansas and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through April 19, 2028 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1982353215
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameEVERSIDE HEALTH LLC
Location Address300 N LOCKARD STBlytheville, AR 72315-3769
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(704) 936-5546
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateMarch 23, 2022
Last NPPES UpdateAugust 12, 2022
NPPES CertifiedAugust 12, 2022
✔ NPI 1982353215 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.
300 N LOCKARD ST, Blytheville, AR 72315
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 04D2258358

Everside Health Blytheville Ar Clinic · Blytheville, AR
Active · expires Apr 19, 2028
CLIA Number04D2258358
Laboratory TypeChronic Disease Mgtt
Certificate Effective DateApril 20, 2026
Certificate Expiration DateApril 19, 2028
Laboratory DirectorMonica Williams
Laboratory Phone(704) 529-6161
Laboratory LocationEverside Health Blytheville Ar Clinic300 North Lockard Street, Blytheville, AR 72315
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 1982353215. It was assigned to this organization in the NPPES registry on March 23, 2022.

Where is Everside Health LLC located?

Everside Health LLC is located at 300 N Lockard St, Blytheville, AR 72315. The listed phone number is (704) 936-5546.

What is Everside Health LLC'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 LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2258358) is associated with this NPI, valid through April 19, 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 12, 2022. 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.