Active NPI
Everside Health, LLC
Doing business as Activate Healthcare
- Clinic/Center
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- EVERSIDE HEALTH, LLC
- Doing business as
- Activate Healthcare
Marathon Health, Novi MI - Practice address
- 39595 W 10 Mile Rd Ste 101
Novi, MI 48375-2948 - Phone
- (248) 348-1540
- NPI assigned
- Feb 11, 2020
- 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
39595 W 10 Mile Rd Ste 101
Novi, MI 48375-2948
Mailing address
4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
Other names 2
- Activate Healthcare
- Marathon Health, Novi MI
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 |
|---|---|---|---|
| 23D2179172 | Everside Health, LLC Novi Michigan | Certificate of waiver | Feb 17, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Everside Health LLC
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Clinic/Center
- Kalamazoo, MI
- NPI 1407489487
Locations
15300 Centennial Dr
Northville, MI 48168
39595 W 10 Mile Rd
Ste 101
Novi, MI 48375
Phone (248) 348-1540
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Novi, MI
- NPI 1407497027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1700418423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4651 CHARLOTTE PARK DR STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282171916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39595 W 10 MILE RD STE 101",
"city": "NOVI",
"state": "MI",
"postal_code": "483752948",
"telephone_number": "248-348-1540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERSIDE HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-11",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"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": [
{
"organization_name": "Activate Healthcare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Marathon Health, Novi MI",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.