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MOHAWK HEALTHY LIFE CENTER AT ANTIOCH
NPI 1609171917
Non-Pharmacy Dispensing Site in Dalton, GA

Active since January 18, 2011
2001 ANTIOCH RD, DALTON, GA 30721(706) 275-7660 Get Directions Write a Review

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

About Mohawk Healthy Life Center At Antioch NPPES

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

MOHAWK HEALTHY LIFE CENTER AT ANTIOCH (NPI 1609171917) is a healthcare organization registered as a non-pharmacy dispensing site in Dalton, Georgia and active in the NPI registry since January 2011. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1609171917
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameEVERNORTH DIRECT HEALTH LLC
Location Address2001 ANTIOCH RDDalton, GA 30721-4622
Mailing Address9276 Scranton Rd, Suite 100San Diego, CA 92121-7701
Phone(706) 275-7660
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990
Enumeration DateJanuary 18, 2011
Last NPPES UpdateMay 3, 2021
NPPES CertifiedMay 3, 2021
✔ NPI 1609171917 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 · RN213704
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.)
2001 ANTIOCH RD, Dalton, GA 30721
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Other Names 1

Doing Business AsMohawk Healthy Life Center At Antioch

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 7

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

PAMELA J SIMMONS NP-C
Nurse Practitioner (Family)
2001 ANTIOCH RD
DALTON, GA 30721
Whitfield County (706) 277-1100
EVERNORTH DIRECT HEALTH LLC
Clinic/Center
2001 ANTIOCH RD
DALTON, GA 30721
Whitfield County (706) 275-7660
KRISTEN KING
Nurse Practitioner (Family)
2001 ANTIOCH RD
DALTON, GA 30721
Whitfield County (833) 402-8060
MS. BERTHA LUCIA WOAS PA-C
Physician Assistant (Medical)
2001 ANTIOCH RD
DALTON, GA 30721
Whitfield County (706) 275-7660
EVERNORTH DIRECT HEALTH LLC
Clinic/Center
2001 ANTIOCH RD
DALTON, GA 30721
Whitfield County (706) 275-7660
KIRSTY J ELWELL PA-C
Physician Assistant (Medical)
2001 ANTIOCH RD
DALTON, GA 30721
Whitfield County (706) 275-7600
DESIREE MARIE RATHBURN PA-C
Physician Assistant
2001 ANTIOCH RD
DALTON, GA 30721
Whitfield County (706) 272-7600

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 1609171917. It was assigned to this organization in the NPPES registry on January 18, 2011. The provider is doing business as Mohawk Healthy Life Center At Antioch.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 2001 Antioch Rd, Dalton, GA 30721. The listed phone number is (706) 275-7660.

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.