NPI age
3 years
Enumerated 2022-12-13
● Active Type 2 · Organization
Subpart
Evernorth Direct Health Llc
Evernorth Direct Health Llc is 1 of 730 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Coolidge
Financial Analysis Senior Manager
Last NPPES update
2022-12-13
Source: monthly bulk 2026-05
How this organization compares
Across 730 active clinic/center providers in Georgia.
NPI age
3 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-12Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
2001 Antioch Rd
Dalton, GA 307214622
Mailing address
25600 N Norterra Dr
Phoenix, AZ 850858201
Authorized official
Deborah Sue Coolidge
Financial Analysis Senior Manager
📞 6232771170
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Kirsty Elwell, PA-C Physician Assistant NPI 1902980246
- Kristen King Nurse Practitioner NPI 1366034746
- Desiree Rathburn, PA-C Physician Assistant NPI 1952008856
- Pamela Simmons, NP-C Nurse Practitioner NPI 1053667865
- Bertha Woas, PA-C Physician Assistant NPI 1841580958
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Mohawk HLC Antioch
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
Subpart of Evernorth Direct Health Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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