Active NPI
Everside Health, LLC
- Clinic/Center
- Bryan, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- EVERSIDE HEALTH, LLC
- Practice address
- 500 W Mulberry St
Suite 101
Bryan, OH 43506-1142 - Phone
- (419) 519-3336
- Fax
- (419) 212-9219
- NPI assigned
- Apr 6, 2017
- Last updated
- Sep 17, 2026
- 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
500 W Mulberry St
Suite 101
Bryan, OH 43506-1142
Mailing address
4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
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 |
|---|---|---|---|
| 36D2131553 | Everside Health Bryan Clinic | Certificate of waiver | May 31, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Everside Health LLC
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Organizations that report the same tax identification number in the National Provider Directory.
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- Clinic/Center
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- NPI 1083018535
-
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-
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Locations
500 W Mulberry St
Ste 101
Bryan, OH 43506
Phone (419) 519-3336
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Bryan, OH
- NPI 1831112119
-
- Family Medicine Physician
- Bryan, OH
- NPI 1841298296
-
- Family Nurse Practitioner
- Bryan, OH
- NPI 1619109402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789603200000",
"number": "1952834020",
"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": "500 W MULBERRY ST",
"address_2": "SUITE 101",
"city": "BRYAN",
"state": "OH",
"postal_code": "435061142",
"telephone_number": "419-519-3336",
"fax_number": "419-212-9219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERSIDE HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-06",
"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 Bryan, OH
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.