Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EVERNORTH DIRECT HEALTH LLC
NPI 1093383630
Clinic/Center in New York, NY

Q: What is Evernorth Direct Health LLC's NPI number?

The NPI number for Evernorth Direct Health LLC is 1093383630. It was assigned to this organization in the NPPES registry on June 10, 2021.

Q: What is Evernorth Direct Health LLC's specialty?

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

Active since June 10, 2021

63 MADISON AVE FL 11, NEW YORK, NY 10016(212) 448-5800 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 6, 2026, Jun 10, 2021 (2 updates tracked since 2021).

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About Evernorth Direct Health Llc NPPES

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

EVERNORTH DIRECT HEALTH LLC (NPI 1093383630) is a healthcare organization registered as a clinic/center in New York, New York and active in the NPI registry since June 2021. The organization lists Shannon Custer, Operations Director, as its authorized official.

NPPES Registry Identity

NPI1093383630

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameEVERNORTH DIRECT HEALTH LLC

Location Address63 MADISON AVE FL 11New York, NY 10016-8726

Mailing Address63 Madison Ave Fl 11New York, NY 10016-8726

Phone(212) 448-5800

Organization SubpartNo

Authorized OfficialShannon CusterOperations Director · (706) 483-5099

Enumeration DateJune 10, 2021

Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1093383630 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).

63 MADISON AVE FL 11, New York, NY 10016

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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 1093383630. It was assigned to this organization in the NPPES registry on June 10, 2021.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 63 Madison Ave Fl 11, New York, NY 10016. The listed phone number is (212) 448-5800.

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 August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.