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EVERNORTH DIRECT HEALTH LLC
NPI 1508561846
Clinic/Center in Mount Gilead, NC

Active since April 04, 2023CLIA 34D2136935 · Waiver
149 HOMANIT USA RD, MOUNT GILEAD, NC 27306(910) 639-1935(910) 469-9043 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evernorth Direct Health Llc NPPES

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

EVERNORTH DIRECT HEALTH LLC (NPI 1508561846) is a healthcare organization registered as a clinic/center in Mount Gilead, North Carolina and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through September 18, 2027 and lists Deborah Sue Coolidge, Financial Analysis Senior Manager, as its authorized official.

NPPES Registry Identity

NPI1508561846
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVERNORTH DIRECT HEALTH LLC
Location Address149 HOMANIT USA RDMount Gilead, NC 27306-8649
Mailing Address8888 E Raintree DrScottsdale, AZ 85260-3951
Phone(910) 639-1935
Fax(910) 469-9043
Organization SubpartYes
Authorized OfficialDeborah Sue CoolidgeFinancial Analysis Senior Manager · (623) 277-1170
Enumeration DateApril 4, 2023
NPPES CertifiedApril 4, 2023
✔ NPI 1508561846 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).
149 HOMANIT USA RD, Mount Gilead, NC 27306
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Other Names 1

Other NameMohawk Hlc Mt Gilead

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 34D2136935

Mt Gilead Healthy Life Center Dba Evernorth Direct Health, LLC · Mount Gilead, NC
Active · expires Sep 18, 2027
CLIA Number34D2136935
Laboratory TypeOutpatient
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorNatasha Salehani
Laboratory Phone(480) 868-0646
Laboratory LocationMt Gilead Healthy Life Center Dba Evernorth Direct Health, LLC149 Homanit Road, Mount Gilead, NC 27306
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 1508561846. It was assigned to this organization in the NPPES registry on April 4, 2023. The provider is also known as Mohawk HLC Mt Gilead.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 149 Homanit Usa Rd, Mount Gilead, NC 27306. The listed phone number is (910) 639-1935.

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 34D2136935) is associated with this NPI, valid through September 18, 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 April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.