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EVERGREEN PRIMARY CARE
NPI 1356695886
Emergency Medicine in Evergreen, AL

Active since November 06, 2012CLIA 01D2173011 · Waiver
100 EDWINA STREET, EVERGREEN, AL 36401(251) 578-0278(251) 578-0290 Get Directions Write a Review

NPPES record last updated: November 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Primary Care NPPES

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

EVERGREEN PRIMARY CARE (NPI 1356695886) is a healthcare organization registered as an emergency medicine in Evergreen, Alabama and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through October 2, 2027 and lists James Powell, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1356695886
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameEVERGREEN MEDICAL CENTER LLC
Location Address100 EDWINA STREETEvergreen, AL 36401-3319
Mailing Address100 Edwina StreetEvergreen, AL 36401-3319 · (251) 578-0278 · Fax (251) 578-0290
Phone(251) 578-0278
Fax(251) 578-0290
Organization SubpartNo
Authorized OfficialJames PowellOffice Manager · (251) 578-0278
Enumeration DateNovember 6, 2012
✔ NPI 1356695886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
100 EDWINA STREET, Evergreen, AL 36401
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Other Names 1

Doing Business AsEvergreen Primary Care

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

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 01D2173011

Evergreen Primary Care · Evergreen, AL
Active · expires Oct 2, 2027
CLIA Number01D2173011
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorJeffrey Voreis
Laboratory Phone(251) 578-0220
Laboratory LocationEvergreen Primary Care102 Edwina Street, Evergreen, AL 36401
CLIA data matches this NPI record on: 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.

EVERGREEN MEDICAL CENTER LLC
Clinic/Center (Rural Health)
100 EDWINA STREET
EVERGREEN, AL 36401
Conecuh County (251) 578-0278
EVERGREEN DENTAL CENTER
Dentist
100 EDWINA STREET
EVERGREEN, AL 36401
Conecuh County (251) 578-3331

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 Evergreen Medical Center LLC's NPI number?

The NPI number for Evergreen Medical Center LLC is 1356695886. It was assigned to this organization in the NPPES registry on November 6, 2012. The provider is doing business as Evergreen Primary Care.

Where is Evergreen Medical Center LLC located?

Evergreen Medical Center LLC is located at 100 Edwina Street, Evergreen, AL 36401. The listed phone number is (251) 578-0278.

What is Evergreen Medical Center LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Does Evergreen Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2173011) is associated with this NPI, valid through October 2, 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 Evergreen Medical Center LLC was last updated on November 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.