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

Active since February 07, 2023CLIA 03D2114010 · Waiver
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: August 09, 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 holds a CLIA Waiver certificate valid through June 5, 2028 and 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
Phone(800) 241-4900
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
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Other Names 1

Other NameMohawk Hlc Lyerly

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2114010

Evernorth Health Coach Arizona Dba Evernorth Direct Health, LLC · Scottsdale, AZ
Active · expires Jun 5, 2028
CLIA Number03D2114010
Laboratory TypeOutpatient Facility
Certificate Effective DateJune 6, 2026
Certificate Expiration DateJune 5, 2028
Laboratory DirectorTeresa K. Hart
Laboratory Phone(480) 868-0646
Laboratory LocationEvernorth Health Coach Arizona Dba Evernorth Direct Health, LLC8888 E Raintree Dr Ste 180, Scottsdale, AZ 85260
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

EVERNORTH DIRECT HEALTH LLC
Non-Pharmacy Dispensing Site
5081 HIGHWAY 114
LYERLY, GA 30730
Chattooga County (800) 241-4900

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.

Does Evernorth Direct Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2114010) is associated with this NPI, valid through June 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.