MOHAWK HEALTHY LIFE CENTER - UNION GROVE
NPI 1649563230
Non-Pharmacy Dispensing Site in Calhoun, GA

Active since May 16, 2011
450 CLARENCE KING PKWY, CALHOUN, GA 30701(706) 624-3695 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 - Union Grove NPPES

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

MOHAWK HEALTHY LIFE CENTER - UNION GROVE (NPI 1649563230) is a healthcare organization registered as a non-pharmacy dispensing site in Calhoun, Georgia and active in the NPI registry since May 2011. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1649563230
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameEVERNORTH DIRECT HEALTH LLC
Location Address450 CLARENCE KING PKWYCalhoun, GA 30701-3628
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990
Enumeration DateMay 16, 2011
Last NPPES UpdateMay 3, 2021
NPPES CertifiedMay 3, 2021
NPI 1649563230 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 · 005483
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.)
450 CLARENCE KING PKWY, Calhoun, GA 30701

Other Names 1

Doing Business AsMohawk Healthy Life Center - Union Grove

Accepted Insurance

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.

Clinic/Center
450 CLARENCE KING PKWY
CALHOUN, GA 30701
Nurse Practitioner (Family)
450 CLARENCE KING PKWY
CALHOUN, GA 30701

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 1649563230. It was assigned to this organization in the NPPES registry on May 16, 2011. The provider is doing business as Mohawk Healthy Life Center - Union Grove.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 450 Clarence King Pkwy, Calhoun, GA 30701. The listed phone number is (706) 624-3695.

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.