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EVERNORTH DIRECT HEALTH LLC
NPI 1083325146
Clinic/Center in Calhoun, GA

Active since December 09, 2022CLIA 11D2058396 · Waiver
450 CLARENCE KING PKWY, CALHOUN, GA 30701(706) 624-3695(706) 624-3694 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 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 1083325146) is a healthcare organization registered as a clinic/center in Calhoun, Georgia and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists Deborah Sue Coolidge, Financial Analysis Senior Manager, as its authorized official.

NPPES Registry Identity

NPI1083325146
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVERNORTH DIRECT HEALTH LLC
Location Address450 CLARENCE KING PKWYCalhoun, GA 30701-3628
Mailing Address25600 N Norterra DrPhoenix, AZ 85085-8201
Phone(706) 624-3695
Fax(706) 624-3694
Organization SubpartYes
Authorized OfficialDeborah Sue CoolidgeFinancial Analysis Senior Manager · (623) 277-1170
Enumeration DateDecember 9, 2022
NPPES CertifiedDecember 9, 2022
✔ NPI 1083325146 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).
450 CLARENCE KING PKWY, Calhoun, GA 30701
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Other Names 1

Other NameMohawk Hlc Union Grove

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 11D2058396

Hlthy Life Care Ctr-Union Grove Dba Evernorth Direct Health · Calhoun, GA
Active · expires May 6, 2027
CLIA Number11D2058396
Laboratory TypeOutpatient
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorGabriela Guzman
Laboratory Phone(480) 868-0646
Laboratory LocationHlthy Life Care Ctr-Union Grove Dba Evernorth Direct Health450 Clarence King Parkway, Calhoun, GA 30701
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 2

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

MRS. RACHEL T GLAZE CNM, FNP-BC
Nurse Practitioner (Family)
450 CLARENCE KING PKWY
CALHOUN, GA 30701
Gordon County (706) 624-3695
EVERNORTH DIRECT HEALTH LLC
Non-Pharmacy Dispensing Site
450 CLARENCE KING PKWY
CALHOUN, GA 30701
Gordon County (706) 624-3695

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 1083325146. It was assigned to this organization in the NPPES registry on December 9, 2022. The provider is also known as Mohawk HLC Union Grove.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 450 Clarence King Pkwy, Calhoun, GA 30701. The listed phone number is (706) 624-3695.

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 11D2058396) is associated with this NPI, valid through May 6, 2027. 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 December 9, 2022. 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.