NPI age
14 years
Enumerated 2011-12-09
● 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
508 E Morris St
Dalton, GA 307213403
Mailing address
5626 Oberlin Dr, Suite 110
San Diego, CA 921211705
Authorized official
Kenny Heine
Vp Of Operations
📞 8586252990
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Kimberly A'Hearn, PT, DPT Physical Therapist NPI 1235329715
- Cara Bramlett, PA-C Physician Assistant NPI 1134177801
- Misty Chessor, FNP Nurse Practitioner NPI 1225303886
- Ka'Chavis Huntley, ATC Specialist/Technologist NPI 1265947915
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 - GREEN STREET
-
MOHAWK HEALTHY LIFE CENTER - GREEN STREET
Practice context
Multi-provider organization. 4 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.