OrganizationActive
Everside Health, LLC
NPI 1104599893 · Family Medicine Physician · Fowler, IN
Provider details
- NPI number
- 1104599893
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jill Patton, Director of Risk Management(704) 936-5546
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
604 E 2nd St Ste a
Fowler, IN 47944-1383
Phone: (866) 808-6005
Approximate (ZIP-level) locationGet directions
Mailing address
4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
Registry dates
- Enumerated
- 2021-07-28
- Last updated
- 2022-07-28
- Certified
- 2022-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.