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MOHAWK HEALTHY LIFE CENTER - LYERLY
NPI 1578831665
Non-Pharmacy Dispensing Site in Lyerly, GA

Active since December 05, 2011
5081 HIGHWAY 114, LYERLY, GA 30730(800) 241-4900 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2021, Mar 28, 2016 (2 updates tracked since 2016).

About Mohawk Healthy Life Center - Lyerly NPPES

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

MOHAWK HEALTHY LIFE CENTER - LYERLY (NPI 1578831665) is a healthcare organization registered as a non-pharmacy dispensing site in Lyerly, Georgia and active in the NPI registry since December 2011. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1578831665
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameEVERNORTH DIRECT HEALTH LLC
Location Address5081 HIGHWAY 114Lyerly, GA 30730-4585
Mailing Address9276 Scranton Rd, Suite 100San Diego, CA 92121-7701
Phone(800) 241-4900
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990
Enumeration DateDecember 5, 2011
Last NPPES UpdateMay 3, 20212 updates tracked since enumeration
NPPES CertifiedMay 3, 2021
✔ NPI 1578831665 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 · 004110
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.)
5081 HIGHWAY 114, Lyerly, GA 30730
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Other Names 1

Doing Business AsMohawk Healthy Life Center - Lyerly

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

EVERNORTH DIRECT HEALTH LLC
Clinic/Center
5081 HIGHWAY 114
LYERLY, GA 30730
Chattooga County (800) 241-4900

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 1578831665. It was assigned to this organization in the NPPES registry on December 5, 2011. The provider is doing business as Mohawk Healthy Life Center - Lyerly.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 5081 Highway 114, Lyerly, GA 30730. The listed phone number is (800) 241-4900.

What is Evernorth Direct Health LLC's specialty?

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

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 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.