NPI age
14 years
Enumerated 2011-12-05
● Active Type 2 · Organization
Subpart
Evernorth Direct Health Llc
Evernorth Direct Health Llc is 1 of 184 non-pharmacy dispensing site organizations in Georgia.
Primary specialty
Non-Pharmacy Dispensing Site
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Heine
Vp Of Operations
Last NPPES update
2021-05-03
Source: monthly bulk 2026-05
How this organization compares
Across 184 active non-pharmacy dispensing site providers in Georgia.
NPI age
14 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-12Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
5081 Highway 114
Lyerly, GA 307304585
Mailing address
9276 Scranton Rd, Suite 100
San Diego, CA 921217701
Authorized official
Kenny Heine
Vp Of Operations
📞 8586252990
Specialties
-
Non-Pharmacy Dispensing Site PrimaryA 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.)
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
MOHAWK HEALTHY LIFE CENTER - LYERLY
-
MOHAWK HEALTHY LIFE CENTER - LYERLY
Practice context
Single-site organization. Only one practice location on file.
Subpart of Medvantx, Inc..
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.