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EVERNORTH DIRECT HEALTH LLC
NPI 1164007423
Clinic/Center in Seneca, SC

Active since March 17, 2021CLIA 42D1065218 · Waiver
15545 WELLS HWY, SENECA, SC 29678(864) 985-5009(864) 985-5008 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 3, 2021, Mar 17, 2021 (2 updates tracked since 2021).

About Evernorth Direct Health Llc NPPES

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

EVERNORTH DIRECT HEALTH LLC (NPI 1164007423) is a healthcare organization registered as a clinic/center in Seneca, South Carolina and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through February 25, 2027 and lists Deborah Sue Coolidge, Financial Analysis Senior Manager, as its authorized official.

NPPES Registry Identity

NPI1164007423
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVERNORTH DIRECT HEALTH LLC
Location Address15545 WELLS HWYSeneca, SC 29678-1664
Mailing Address15545 Wells HwySeneca, SC 29678-1664 · (864) 985-5009 · Fax (864) 985-5008
Phone(864) 985-5009
Fax(864) 985-5008
Organization SubpartYes
Authorized OfficialDeborah Sue CoolidgeFinancial Analysis Senior Manager · (623) 277-1170
Enumeration DateMarch 17, 2021
Last NPPES UpdateMay 3, 20212 updates tracked since enumeration
NPPES CertifiedMay 3, 2021
✔ NPI 1164007423 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).
15545 WELLS HWY, Seneca, SC 29678
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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 42D1065218

Borgwarner-Seneca Dba Evernorth Direct Health, LLC · Seneca, SC
Active · expires Feb 25, 2027
CLIA Number42D1065218
Laboratory TypeOutpatient
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorTawny Mcintosh
Laboratory Phone(480) 868-0646
Laboratory LocationBorgwarner-Seneca Dba Evernorth Direct Health, LLC15545 Wells Highway, Seneca, SC 29678
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.

MRS. TAWNY JENNA MCINTOSH APRN
Nurse Practitioner (Family)
15545 WELLS HWY
SENECA, SC 29678
Oconee County (864) 985-5009

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 1164007423. It was assigned to this organization in the NPPES registry on March 17, 2021.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 15545 Wells Hwy, Seneca, SC 29678. The listed phone number is (864) 985-5009.

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 42D1065218) is associated with this NPI, valid through February 25, 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 May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.