1. Home
  2. Directory
  3. Arkansas
  4. Little Rock
  5. General Practice
  6. NPI Profile

EVERNORTH CARE PROVIDERS - TENNESSEE PC
NPI 1689431132
General Practice in Little Rock, AR

Active since March 01, 2024
400 W CAPITOL AVE STE 1700, LITTLE ROCK, AR 72201(773) 292-4800(312) 564-4059 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evernorth Care Providers - Tennessee Pc NPPES

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

EVERNORTH CARE PROVIDERS - TENNESSEE PC (NPI 1689431132) is a healthcare organization registered as a general practice in Little Rock, Arkansas and active in the NPI registry since March 2024. The organization lists Grace Blue, Credentialing Sr. Manager, as its authorized official.

NPPES Registry Identity

NPI1689431132
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEVERNORTH CARE PROVIDERS - TENNESSEE PC
Location Address400 W CAPITOL AVE STE 1700Little Rock, AR 72201-3438
Mailing Address730 Cool Springs Blvd Ste 500Franklin, TN 37067-7331 · (773) 292-4800 · Fax (312) 564-4059
Phone(773) 292-4800
Fax(312) 564-4059
Organization SubpartNo
Authorized OfficialGrace BlueCredentialing Sr. Manager · (773) 292-4800
Enumeration DateMarch 1, 2024
NPPES CertifiedMarch 1, 2024
✔ NPI 1689431132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
400 W CAPITOL AVE STE 1700, Little Rock, AR 72201
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 20

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

BLOSSOM THERAPY
Clinic/Center (Rehabilitation)
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201
Pulaski County (848) 525-7013
TERYN MORELAND
Behavior Technician
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201
Pulaski County (501) 999-3836
LW CARE LLC
In Home Supportive Care
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201
Pulaski County (915) 247-6129
JASMINE BLACK
Behavior Technician
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201
Pulaski County (501) 613-0385
OPTIMUM HOME CARE OF ARKANSAS LLC
In Home Supportive Care
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201
Pulaski County (501) 813-6315
JALEA BENNETT
Behavior Technician
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201
Pulaski County (501) 613-0385
KAREN COLLINS
Behavior Technician
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201
Pulaski County (501) 613-0385
SHALANA DAVENPORT
Specialist (Prosthetics Case Management)
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201
Pulaski County (501) 500-2266

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 Care Providers - Tennessee PC's NPI number?

The NPI number for Evernorth Care Providers - Tennessee PC is 1689431132. It was assigned to this organization in the NPPES registry on March 1, 2024.

Where is Evernorth Care Providers - Tennessee PC located?

Evernorth Care Providers - Tennessee PC is located at 400 W Capitol Ave Ste 1700, Little Rock, AR 72201. The listed phone number is (773) 292-4800.

What is Evernorth Care Providers - Tennessee PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Evernorth Care Providers - Tennessee PC was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.