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EVERNORTH CARE PROVIDERS - TENNESSEE PC
NPI 1205607397
General Practice in Aiken, SC

Active since January 09, 2024
900 TRAIL RIDGE RD FL 1, AIKEN, SC 29803(773) 292-4800(312) 564-4059 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evernorth Care Providers - Tennessee Pc NPPES

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

EVERNORTH CARE PROVIDERS - TENNESSEE PC (NPI 1205607397) is a healthcare organization registered as a general practice in Aiken, South Carolina and active in the NPI registry since January 2024. The organization lists Jacqueline D Lakes, Senior Paralegal, as its authorized official.

NPPES Registry Identity

NPI1205607397
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEVERNORTH CARE PROVIDERS - TENNESSEE PC
Location Address900 TRAIL RIDGE RD FL 1Aiken, SC 29803-7765
Mailing Address730 Cool Springs Blvd Ste 500Franklin, TN 37067-7331 · (773) 292-4800 · Fax (312) 564-4059
Phone(773) 292-4800
Fax(312) 564-4059
Organization SubpartNo
Authorized OfficialJacqueline D LakesSenior Paralegal · (954) 446-0640
Enumeration DateJanuary 9, 2024
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1205607397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
900 TRAIL RIDGE RD FL 1, Aiken, SC 29803
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

EMPYREAN HOSPICE OF SOUTH CAROLINA, LLC
Hospice Care, Community Based
900 TRAIL RIDGE RD FL 1
AIKEN, SC 29803
Aiken County (803) 233-2882
BALANCED WELLBEING NATIONWIDE PA
Psychiatry & Neurology (Psychiatry)
900 TRAIL RIDGE RD FL 1
AIKEN, SC 29803
Aiken County (877) 779-2429
ALLIED NURSES, LLC
Home Health
900 TRAIL RIDGE RD FL 1
AIKEN, SC 29803
Aiken County (803) 902-6615
REAGHAN ANGEL HICKS M.D.
Psychiatry & Neurology (Psychiatry)
900 TRAIL RIDGE RD FL 1
AIKEN, SC 29803
Aiken County (917) 634-5311
GRANT DEEDY MD
Psychiatry & Neurology (Psychiatry)
900 TRAIL RIDGE RD FL 1
AIKEN, SC 29803
Aiken County (833) 351-8255

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 Care Providers - Tennessee PC's NPI number?

The NPI number for Evernorth Care Providers - Tennessee PC is 1205607397. It was assigned to this organization in the NPPES registry on January 9, 2024.

Where is Evernorth Care Providers - Tennessee PC located?

Evernorth Care Providers - Tennessee PC is located at 900 Trail Ridge Rd Fl 1, Aiken, SC 29803. The listed phone number is (773) 292-4800.

What is Evernorth Care Providers - Tennessee PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Evernorth Care Providers - Tennessee PC was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.