NPI age
15 years
Enumerated 2011-01-18
● 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
15 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-01Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
2001 Antioch Rd
Dalton, GA 307214622
Mailing address
9276 Scranton Rd, Suite 100
San Diego, CA 921217701
Authorized official
Kenny Heine
Vp Of Operations
📞 8586252990
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
-
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 AT ANTIOCH
-
MOHAWK HEALTHY LIFE CENTER AT ANTIOCH
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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.