EVERNORTH DIRECT HEALTH LLC
NPI 1003512393
Clinic/Center in Lyerly, GA

Active since February 07, 2023
5081 HIGHWAY 114, LYERLY, GA 30730(800) 241-4900(706) 895-2583 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Evernorth Direct Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERNORTH DIRECT HEALTH LLC (NPI 1003512393) is a healthcare organization registered as a clinic/center in Lyerly, Georgia and active in the NPI registry since February 2023. The organization lists Deborah Sue Coolidge, Financial Analysis Senior Manager, as its authorized official.

NPPES Registry Identity

NPI1003512393
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVERNORTH DIRECT HEALTH LLC
Location Address5081 HIGHWAY 114Lyerly, GA 30730-4585
Mailing Address8888 E Raintree DrScottsdale, AZ 85260-3951
Fax(706) 895-2583
Organization SubpartYes
Authorized OfficialDeborah Sue CoolidgeFinancial Analysis Senior Manager · (623) 277-1170
Enumeration DateFebruary 7, 2023
NPPES CertifiedFebruary 7, 2023
✔ NPI 1003512393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5081 HIGHWAY 114, Lyerly, GA 30730

Other Names 1

Other NameMohawk Hlc Lyerly

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Non-Pharmacy Dispensing Site
5081 HIGHWAY 114
LYERLY, GA 30730

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evernorth Direct Health LLC's NPI number?

The NPI number for Evernorth Direct Health LLC is 1003512393. It was assigned to this organization in the NPPES registry on February 7, 2023. The provider is also known as Mohawk HLC Lyerly.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 5081 Highway 114, Lyerly, GA 30730. The listed phone number is (800) 241-4900.

What is Evernorth Direct Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Evernorth Direct Health LLC was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.