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MOHAWK HEALTHY LIFE CENTER - GREEN STREET
NPI 1750659363
Non-Pharmacy Dispensing Site in Dalton, GA

Active since December 09, 2011
508 E MORRIS ST, DALTON, GA 30721(706) 272-1465 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mohawk Healthy Life Center - Green Street NPPES

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

MOHAWK HEALTHY LIFE CENTER - GREEN STREET (NPI 1750659363) is a healthcare organization registered as a non-pharmacy dispensing site in Dalton, 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

NPI1750659363
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameEVERNORTH DIRECT HEALTH LLC
Location Address508 E MORRIS STDalton, GA 30721-3403
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(706) 272-1465
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990
Enumeration DateDecember 9, 2011
Last NPPES UpdateMay 3, 2021
NPPES CertifiedMay 3, 2021
✔ NPI 1750659363 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 · RN225780
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.)

508 E MORRIS ST, Dalton, GA 30721
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Other Names 1

Doing Business AsMohawk Healthy Life Center - Green Street

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 5

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

MRS. CARA H BRAMLETT PA-C
Physician Assistant
508 E MORRIS ST
DALTON, GA 30721
Whitfield County (706) 264-0630
MRS. MISTY LYNN CHESSOR FNP
Nurse Practitioner (Family)
508 E MORRIS ST
DALTON, GA 30721
Whitfield County (706) 272-1645
KA'CHAVIS DEVONNA HUNTLEY ATC
Specialist/Technologist (Athletic Trainer)
508 E MORRIS ST
DALTON, GA 30721
Whitfield County (423) 238-7217
KIMBERLY ANN A'HEARN PT, DPT
Physical Therapist
508 E MORRIS ST
DALTON, GA 30721
Whitfield County (423) 238-7217
EVERNORTH DIRECT HEALTH LLC
Clinic/Center
508 E MORRIS ST
DALTON, GA 30721
Whitfield County (706) 272-1645

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 1750659363. It was assigned to this organization in the NPPES registry on December 9, 2011. The provider is doing business as Mohawk Healthy Life Center - Green Street.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 508 E Morris St, Dalton, GA 30721. The listed phone number is (706) 272-1465.

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 with the weekly NPPES data releases published by CMS.