Active NPI
St. Mary's Everside Health Center
- Clinic/Center
- Leonardtown, MD
National Provider Identifier
1144092412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ST. MARY'S EVERSIDE HEALTH CENTER
- Practice address
- 23000 Moakley St Ste 202
Leonardtown, MD 20650-2917 - Phone
- (704) 661-1380
- NPI assigned
- Oct 30, 2023
- 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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
23000 Moakley St Ste 202
Leonardtown, MD 20650-2917
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 |
|---|---|---|---|
| 21D2298201 | Everside Health St Mary's | Certificate of waiver | Jan 29, 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
- White Plains, MD
- NPI 1013607274
-
- Clinic/Center
- Centreville, MD
- NPI 1881303584
-
- Clinic/Center
- Lanham, MD
- NPI 1386109478
-
- Primary Care Clinic/Center
- Capitol Heights, MD
- NPI 1538626692
Locations
23000 Moakley St
Ste 202
Leonardtown, MD 20650
Phone (240) 744-1100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789603200000",
"number": "1144092412",
"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": "23000 MOAKLEY ST STE 202",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206502917",
"telephone_number": "704-661-1380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. MARY'S EVERSIDE HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-30",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"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": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leonardtown, MD
- St. Mary's County Commissioners (St. Mary's County Dept of Emergency Services)
- St. Mary's County Health Department
- St. Mary's County Health Department
- St. Mary's County Public Schools
- St. Mary's County Sheriff's Office (SMCSO Wellness Center)
- St. Mary's Health Department
- St. Mary's Hospice Physician - Medicaid
- St. Mary's Hospital of St. Mary's County Inc. (SMH Professional Services)
- St. Mary's Hospital of St. Mary's County, Inc
- St. Mary's Hospital Pathology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.