Active NPI
Everside Health Coca-Cola RCT Charlotte
- Preventive Medicine/Occupational Environmental Medicine Physician
- Charlotte, NC
National Provider Identifier
1013788983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- Legal business name
- EVERSIDE HEALTH COCA-COLA RCT CHARLOTTE
- Practice address
- 1800 Continental Blvd
Charlotte, NC 28273-6388 - Phone
- (704) 661-1380
- NPI assigned
- Jan 10, 2024
- Last updated
- Jan 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill Johnson Patton
- Title
- Director of Risk Management
- Phone
- (704) 936-5546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | NU | Primary |
Addresses
Primary practice location
1800 Continental Blvd
Charlotte, NC 28273-6388
Mailing address
1400 Wewatta St Ste 350
Denver, CO 80202-5553
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2297161 | Everside Health Coca-Cola RCT Health Center | Certificate of waiver | Jan 10, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Everside Health LLC
Organizations with this tax ID in the same state 4
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Burlington, NC
- NPI 1639824592
-
dba Virtual Health Center East
- Family Medicine Physician
- Monroe, NC
- NPI 1134886203
-
- Family Medicine Physician
- Lenoir, NC
- NPI 1942963392
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Mayodan, NC
- NPI 1316713308
Locations
1800 Continental Blvd
Charlotte, NC 28273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704844800000",
"number": "1013788983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 WEWATTA ST STE 350",
"city": "DENVER",
"state": "CO",
"postal_code": "802025553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 CONTINENTAL BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282736388",
"telephone_number": "704-661-1380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERSIDE HEALTH COCA-COLA RCT CHARLOTTE",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-10",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A",
"authorized_official_last_name": "PATTON",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "JOHNSON",
"authorized_official_title_or_position": "DIRECTOR OF RISK MANAGEMENT",
"authorized_official_telephone_number": "704-936-5546"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.