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MOHAWK HEALTHY LIFE CENTER - MILES/DVD
NPI 1134412737
Non-Pharmacy Dispensing Site in Chatsworth, GA

Active since May 16, 2011CLIA Certified · 2 labs
531 DUVALL RD, CHATSWORTH, GA 30705(706) 422-6104 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mohawk Healthy Life Center - Miles/dvd NPPES

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

MOHAWK HEALTHY LIFE CENTER - MILES/DVD (NPI 1134412737) is a healthcare organization registered as a non-pharmacy dispensing site in Chatsworth, Georgia and active in the NPI registry since May 2011. The organization holds 2 active CLIA laboratory certificates and lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1134412737
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameEVERNORTH DIRECT HEALTH LLC
Location Address531 DUVALL RDChatsworth, GA 30705-2087
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(706) 422-6104
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990
Enumeration DateMay 16, 2011
Last NPPES UpdateMay 3, 2021
NPPES CertifiedMay 3, 2021
✔ NPI 1134412737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in GA · 002396
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

531 DUVALL RD, Chatsworth, GA 30705
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Other Names 1

Doing Business AsMohawk Healthy Life Center - Miles/dvd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 11D2058398

Hlthy Life Care Ctr Dba Evernorth Direct Health,llc · Chatsworth, GA
Active · expires Sep 22, 2027
CLIA Number11D2058398
Laboratory TypeOutpatient
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorMs. Gabriela Guzman
Laboratory Phone(480) 868-0646
Laboratory LocationHlthy Life Care Ctr Dba Evernorth Direct Health,llc1149 Duvall Road, Chatsworth, GA 30705
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2277000

Healthy Life Center - Highland Road Dba Evernorth Direct Health · Chatsworth, GA
Active · expires Feb 19, 2027
CLIA Number11D2277000
Laboratory TypeOut Patient
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorNatalie Hobgood
Laboratory Phone(480) 868-0646
Laboratory LocationHealthy Life Center - Highland Road Dba Evernorth Direct Health99 Highland Road, Chatsworth, GA 30705
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1134412737. It was assigned to this organization in the NPPES registry on May 16, 2011. The provider is doing business as Mohawk Healthy Life Center - Miles/Dvd.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 531 Duvall Rd, Chatsworth, GA 30705. The listed phone number is (706) 422-6104.

What is Evernorth Direct Health LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Evernorth Direct Health LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Evernorth Direct Health LLC accept?

Health plans from Sanford Health Plan list Evernorth Direct Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evernorth Direct Health LLC was last updated on May 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.