EVERSIDE HEALTH HSM FORT VALLEY – NPI #1619742871
Preventive Medicine

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

EVERSIDE HEALTH HSM FORT VALLEY is a provider located in FORT VALLEY, GA. NPPES has assigned the NPI number 1619742871 to EVERSIDE HEALTH HSM FORT VALLEY on November 17, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2083P0500X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVERSIDE HEALTH HSM FORT VALLEY below.

NPI Profile for
EVERSIDE HEALTH HSM FORT VALLEY

NPI Number
1619742871
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVERSIDE HEALTH HSM FORT VALLEY
Primary location
256 INDUSTRIAL PARK ROAD
FORT VALLEY, GA 31030
Phone: (866) 959-9355 Fax:
Mailing address
4651 CHARLOTTE PARK DR STE 300
CHARLOTTE, NC 28217-1916
Phone: Fax:
Organization Subpart
No
Authorized Official
JILL PATTON
DIRECTOR OF RISK MANAGEMENT
Phone: (704) 936-5546
Updated
Certification Date
Nov 15, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083P0500X
- Preventive Medicine / Preventive Medicine/Occupational Environmental Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.